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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PH16499 | FL | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2012484 | 01 | |
FL | 021491400 | 05 |
Other Name | Type Code |
---|---|
BALDOMERO LOPEZ STATE VETERANS NURSING HOME | Doing Business As Name - Organization |
Street Address |
6919 PARKWAY BLVD |
City | LAND O LAKES |
State | FL |
Zip Code | 34639-2909 |
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 |
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 |
Find all providers in zip 34639 |
Taxonomy Code | 3336L0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Long Term Care Pharmacy |
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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1316565146 | Rx Care 17 LLC | Pharmacy | 7142 N. University Drive, Tamarac, FL 33321 | 2020-07-08 |
1891318689 | Aviva Care Pharmacy LLC | Pharmacy | 2053 North University Drive, Sunrise, FL 33322 | 2020-05-27 |
1811526650 | Careone Pharmacy Services LLC | Pharmacy | 1455 E Airport Blvd, Sanford, FL 32773-6818 | 2020-04-03 |
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 |
1205475175 | Lordoni Discount Pharmacy Inc | Pharmacy | 6300 N Wickham Rd Ste 126, Melbourne, FL 32940-2037 | 2019-12-24 |
Find all providers with the same taxonomy |
City | LAND O LAKES |
Zip Code | 34639 |
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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.