DR. ANDREA HENDERSON (NPI# 1720359375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720359375 |
| Entity Type | Individual |
| Full Name | DR. ANDREA HENDERSON |
| Credential | PHARMD |
| Practice Address |
1324 Lakeland Hills Blvd Lakeland FL 33805-4543 |
| Practice Telephone | 8636871100 |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2012-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS45335 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992153704 | Andrea Henderson | Licensed Practical Nurse | 9131 Bradford, Detroit, MI 48224 | 2016-06-02 |
| 1699149443 | Andrea Henderson | Home Health Aide | 1410 Washington Blvd, Apt 1706, Detroit, MI 48226-1719 | 2015-11-17 |
| 1790932895 | Andrea Diane Henderson | Physical Therapist | 640 S Irena Ave, Redondo Beach, CA 90277-4355 | 2008-08-20 |
| 1578756466 | Andrea Leigh Henderson | Midwife | 18208 66th Ave Ne Ste 200, Kenmore, WA 98028-7949 | 2007-08-23 |
| 1831243195 | Andrea Lynn Henderson | Registered Nurse | 11450 E View Dr, Amarillo, TX 79124-4782 | 2007-01-23 |
| 1356756290 | Andrea J Henderson | Physical Therapist | 5255 W Overland Rd, Boise, ID 83705-2637 | 2014-06-30 |
| 1194072231 | Andrea Lynne Henderson | Dentist | 11980 San Vicente Blvd, Suite 918, Los Angeles, CA 90049-5012 | 2012-08-08 |
| 1992026546 | Andrea Henderson | Dentist | 1010 Main St S, Mc Kee, KY 40447-7089 | 2010-06-17 |
| 1548462955 | Andrea Henderson | Counselor | 390 40th St, Oakland, CA 94609-2633 | 2007-06-05 |
| Street Address |
1324 LAKELAND HILLS BLVD |
| City | LAKELAND |
| State | FL |
| Zip Code | 33805-4543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760489900 | James Francis Murray II | Obstetrics & Gynecology | 1324 Lakeland Hills Blvd, Pavilion, Lakeland, FL 33508 | 2005-07-01 |
| 1144821059 | Jennifer Mclaughlin | Nurse Practitioner | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2020-11-06 |
| 1861092595 | Hortense Marcia Watson | Registered Nurse | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2020-10-30 |
| 1073129953 | Lilia Yakubov | Nurse Practitioner | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2020-09-16 |
| 1093340374 | Rashika Battle | Nurse Practitioner | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2020-03-07 |
| 1871128363 | Maria Lana Barnes | Registered Nurse | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2020-03-05 |
| 1710519129 | Joshua Parker Thompson | Nurse Practitioner | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2020-02-04 |
| 1932741683 | Katie Elizabeth Deines | Registered Nurse | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2019-10-15 |
| 1700428968 | Jasmine Nazirbage | Nurse Practitioner | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2019-10-09 |
| 1578104824 | Kristopher Dillon Wilson | Physician Assistant | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2019-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477188704 | Ernie Tairon Lugo | Nursing Home Administrator | 5210 State Road N 33, Lot 8, Lakeland, FL 33805 | 2020-03-06 |
| 1912546631 | Francis Esperanzate | Physical Therapist | 5070 Menlo Parke Way, Lakeland, FL 33805 | 2019-12-27 |
| 1689232514 | Anointed Touch | Home Health | 617 S Robson Street, Lakeland, FL 33805 | 2019-06-05 |
| 1083160642 | Cherlande Pierre | Chiropractor | 1507 Lakeland Hills Blvd Ste 109, Lakeland, FL 33805 | 2016-09-01 |
| 1992251706 | Damaris Salmeron | Physical Therapy Assistant | 3127 Us Hwy 98 N, Lakeland, FL 33805 | 2016-08-31 |
| 1831589076 | Sarah Mcneill | Pharmacist | 3124 Lakeland Hills Blvd, Lakeland, FL 33805 | 2015-01-26 |
| 1750706479 | Alison M Busby | Counselor | Achievement Academy Inc, 716 E. Bella Vista St, Lakeland, FL 33805 | 2014-03-04 |
| 1174872907 | William Vargas, M.d. P. A. | Anesthesiology | 202 Parkview Place, Lakeland, FL 33805 | 2012-09-07 |
| 1184998056 | Eduardo Francisco Lopez Garcia | Internal Medicine | 135 E First Street, Lakeland, FL 33805 | 2012-02-24 |
| 1255625513 | Navdeep Singh Jassal | Physical Medicine & Rehabilitation | 1417 Lakeland Hills Blvd Ste 201, Lakeland, FL 33805 | 2011-06-04 |
| Find all providers in zip 33805 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497384085 | Rodjsyne Jones | Pharmacist | 350 Eagles Landing Dr, Lakeland, FL 33810-2999 | 2020-04-06 |
| 1487293445 | Pankaj D Patel | Pharmacist | 3656 Frentress Dr, Lakeland, FL 33812-1206 | 2019-12-22 |
| 1598324436 | Wesley Zane Hamlin | Pharmacist | 1324 Lakeland Hills Blvd # 203, Lakeland, FL 33805-4543 | 2019-06-12 |
| 1518422971 | Prime Therapeutic Consulting & Services, LLC | Pharmacist | 120 W Hickory St, Lakeland, FL 33815-4715 | 2019-02-09 |
| 1982103255 | Robert James Fournier | Pharmacist | 2025 Sylvester Rd Unit J2, Lakeland, FL 33803-3577 | 2018-02-01 |
| 1952846685 | Tara Talisea Guyher | Pharmacist | 2576 Boots Rd, Lakeland, FL 33810-5158 | 2017-01-04 |
| 1003288556 | Casey Ray Hanks | Pharmacist | 12360 Lakeland Acres Rd, Lakeland, FL 33810-1016 | 2015-10-23 |
| 1528430238 | Roshan Nathoo | Pharmacist | 7387 Us Highway 98 N, Lakeland, FL 33809-2102 | 2015-10-21 |
| 1760853832 | Cheryl Adele Minozzi | Pharmacist | 5524 Scott View Ln, Lakeland, FL 33813-3064 | 2015-10-14 |
| 1275912073 | Brent Williams | Pharmacist | 2016 Sophia Pl, Lakeland, FL 33811-2684 | 2015-05-26 |
| Find all providers in LAKELAND | ||||
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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.