BALDOMERO LOPEZ STATE VETERANS NURSING HOME


Address: 6919 Parkway Blvd, Land O Lakes, FL 34639-2909
Phone: 8135585000

BALDOMERO LOPEZ STATE VETERANS NURSING HOME (NPI# 1700914496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700914496
Entity Type Organization
Organization Name BALDOMERO LOPEZ STATE VETERANS NURSING HOME
Other Organization Name BALDOMERO LOPEZ STATE VETERANS NURSING HOME
Practice Address 6919 Parkway Blvd
Land O Lakes
FL 34639-2909
Practice Telephone 8135585000
Practice Fax Number 8135585018
Mailing Telephone 8135585000
Mailing Fax Number 8135585018
Enumeration Date 2007-03-02
Last Update Date 2016-06-20
Authorized Official Name NANCY MIRANDA (PHARMACY MANAGER)
Authorized Official Telephone 8135585000
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336L0003X Pharmacy
Specialization: Long Term Care Pharmacy
PH16499 FL Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2012484 01
FL 021491400 05

Other Provider/Organization Names

Other Name Type Code
BALDOMERO LOPEZ STATE VETERANS NURSING HOME Doing Business As Name - Organization

Office Location

Street Address 6919 PARKWAY BLVD
City LAND O LAKES
State FL
Zip Code 34639-2909

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316939804 Florida Department of Veterans Affairs Skilled Nursing Facility 6919 Parkway Blvd, Land O Lakes, FL 34639-2909 2005-08-19
1396936639 Ellen Marie Ward Speech-Language Pathologist 6919 Parkway Blvd, Land O Lakes, FL 34639-2909 2007-08-01
1720075344 Nancy Miranda Pharmacist 6919 Parkway Blvd, Land O Lakes, FL 34639-2909 2005-09-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730640962 Destiny Marie Gaines Counselor 22703 Chesterview Loop Apt.211, Land O Lakes, FL 34639 2019-03-29
1720544380 Central Florida Dermatology Institute, Pllc Dermatology 5450 Land O Lakes Blvd, Land O Lakes, FL 34639 2019-02-19
1073932174 Erika Schaefer Meier Nurse Practitioner 2061 Collier Parkway, Land O Lakes, FL 34639 2014-04-16
1548526924 George Alan Brant Dermatology 5450 Land O' Lakes Blvd, Land O' Lakes, FL 34639 2012-04-10
1679848956 Floirda Medical Clinic Aco, LLC Clinic/Center 2150 Via Bella Blvd., Land O Lakes, FL 34639 2012-03-20
1336452408 Jennifer T Gardner Counselor 5402 Swallow Dr, Land O Lakes, FL 34639 2010-07-19
1104094515 Angela Claire Marina Occupational Therapy Assistant 7227 Land O Lakes Boulevard, Land O Lakes, FL 34639 2008-02-19
1154521151 Kelly John Mulroy Counselor 3632 Land O'lakes Blvd, Suite 106, Land O'lakes, FL 34639 2007-07-19
1225248610 Sandra J Aljure Estrada Dds Pa Dentist 21533 Villages Lakes Shopping Center, Land O Lakes, FL 34639 2007-05-23
1124233523 Antionette Elizabeth Welch Nurse Practitioner 2121 Collier Parkway, The Little Clinic, Land O' Lakes, FL 34639 2007-05-11
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Taxonomy Information

Taxonomy Code 3336L0003X
Grouping Suppliers
Classification Pharmacy
Specialization Long Term Care Pharmacy

Taxonomy Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

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1982239810 Wamu LLC Pharmacy 85 Cypress Point Pkwy Unit C, Palm Coast, FL 32164-8455 2020-03-11
1477186724 Central Tampa Pharmacy LLC Pharmacy 5010 N 40th St Ste 201, Tampa, FL 33610-5202 2020-02-14
1790317311 Specialty Rx Fl, LLC Pharmacy 15461 Sw 12th St Ste 108, Sunrise, FL 33326-1996 2020-02-11
1700426970 Shambhu Inc. Pharmacy 19214 Nw Us Highway 441 Ste 10, High Springs, FL 32643-8783 2020-01-15
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Competitor

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City LAND O LAKES
Zip Code 34639

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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