MR. BRIAN WARD NELSON (NPI# 1730474206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730474206 |
| Entity Type | Individual |
| Full Name | MR. BRIAN WARD NELSON |
| Credential | RPH |
| Practice Address |
9350 Dynasty Dr Target 2369 Fort Myers FL 33905-5574 |
| Practice Telephone | 2392659023 |
| Practice Fax Number | 2392659033 |
| Mailing Telephone | 2392659023 |
| Mailing Fax Number | 2392659033 |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2011-06-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PS0015183 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366941692 | Brian Russell Nelson | Physical Therapist | Randolph Health Deep River Physical Therapy, 600 W Salisbury Street Suite A, Asheboro, NC 27203-5591 | 2018-02-01 |
| 1538516307 | Brian Nelson | Counselor | 6902 Se Lake Rd Ste 300, Milwaukie, OR 97267-2148 | 2016-05-20 |
| 1740653344 | Brian J Nelson | Hearing Instrument Specialist | 1092 Milwaukee Ave, Burlington, WI 53105-1362 | 2015-11-04 |
| 1639302540 | Brian William Nelson | Social Worker | 3320 Midland Ct, Abingdon, MD 21009-2505 | 2009-08-25 |
| 1558485227 | Brian Emery Nelson | Chiropractor | 6647 Se Woodstock Blvd, Portland, OR 97206-6656 | 2007-03-19 |
| 1255499943 | Brian S Nelson | Family Medicine | 7977 Crampton Ln, Frisco, TX 75035-3161 | 2006-12-05 |
| 1003844929 | Brian Vernon Nelson | Psychologist | 3305 Casco Cir, Wayzata, MN 55391-9718 | 2006-06-29 |
| 1013546548 | Brian George Nelson | Military Health Care Provider | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2020-04-06 |
| 1669930012 | Brian Nelson | Counselor | 3450 Oleary Ln, Eagan, MN 55123-2340 | 2019-03-05 |
| 1508366964 | Brian Nelson | Licensed Vocational Nurse | 1200 N Main St Ste 650, Santa Ana, CA 92701-3613 | 2018-02-12 |
| Street Address |
9350 DYNASTY DR TARGET 2369 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33905-5574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801057153 | Holiday Cvs LLC | Pharmacy | 9350 Dynasty Dr, Fort Myers, FL 33905-5574 | 2008-06-19 |
| 1679123095 | Ron Cheung | Pharmacist | 9350 Dynasty Dr, Fort Myers, FL 33905-5574 | 2019-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811476211 | Lisa Nicole Campbell | Nurse Practitioner | 2850 Via Campania St, Fort Myers, FL 33905 | 2018-08-07 |
| 1538670260 | Doctorguarin LLC | Clinic/Center | 3143 Antica St, Fort Myers, FL 33905 | 2017-10-20 |
| 1366828931 | Dawn Bradley Arnp Pllc | Nurse Practitioner | 3056 Champion Ring Rd, Ft Myers, FL 33905 | 2015-08-06 |
| 1720480551 | Yohana Pierre Villarroel | Licensed Practical Nurse | 2789 Ortiz Ave., Fort Myers, FL 33905 | 2014-09-24 |
| 1639592090 | Hamprenate Service | Case Manager/Care Coordinator | 2789 Oritz Avenue, Fort Myere, FL 33905 | 2014-01-21 |
| 1255688743 | Ronak B Patel | Pharmacist | 9365 Via Murano Ct, Fort Myers, FL 33905 | 2012-08-14 |
| 1477824852 | Joseph Francis Kusiak | Plastic Surgery | 3320 Shady Bend, Fort Myers, FL 33905 | 2012-01-18 |
| 1336447838 | Vicky Brooks | Nurse Practitioner | 8960 Colonial Center Dr Ste 300, Fort Myers, FL 33905 | 2011-03-08 |
| 1790898666 | Access Medical South, Lc | Durable Medical Equipment & Medical Supplies | 5701 Country Lakes Dr., Suite 20, Ft. Myers, FL 33905 | 2006-08-16 |
| 1780691600 | Arthur Lee Strauss | Social Worker | 6000 South Dixie Hwy, Suite B, West Palm Beach, FL 33905 | 2006-08-02 |
| Find all providers in zip 33905 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891923355 | Mahendra J Chaudhari | Pharmacist | 18911 S Tamiami Trl Ste 13, Fort Myers, FL 33908-4739 | 2009-06-23 |
| 1033736913 | Walter Robert Karpinia | Pharmacist | 2692 Oak Ridge Ct, Fort Myers, FL 33901-9351 | 2020-06-26 |
| 1821352386 | Jordan Michael Bowmaster | Pharmacist | 3033 Winkler Ave Ext, Fort Myers, FL 33916-9413 | 2012-06-29 |
| 1952548430 | Wendy Dean | Pharmacist | 3033 Winkler Avenue Ext, Fort Myers, FL 33916-9413 | 2009-01-20 |
| 1124265608 | Jack Dean II | Pharmacist | 2727 Winkler Ave, Fort Myers, FL 33901-9358 | 2009-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696345 | Cynthia Barbara Guerrero Gentile | Pharmacist | 11231 Macaw Ct, Windermere, FL 34786-5635 | 2020-10-16 |
| 1568069276 | Shannon Lea Wright | Pharmacist | 2021 Camden Loop, Davenport, FL 33837-1796 | 2020-10-06 |
| 1013514603 | Tien Thuy Hoang | Pharmacist | 875 Dr M.l.k. Jr St N, St. Petersburg, FL 33701 | 2020-10-06 |
| 1497361976 | Ruxandra Ivascu | Pharmacist | 11782 E Dr Martin Luther King Jr Blvd, Seffner, FL 33584-4923 | 2020-09-20 |
| 1306458450 | Usif Darwish | Pharmacist | 3863 Us 301 S, Riverview, FL 33578-3572 | 2020-08-20 |
| 1528685203 | Caren Azurin | Pharmacist | 23965 Us 27, Lake Wales, FL 33859-7812 | 2020-06-29 |
| 1700400314 | Tonisha Simone Robinson Seixas | Pharmacist | 13280 Nw 18th St, Pembroke Pines, FL 33028-2502 | 2020-05-31 |
| 1942820287 | Sirisha Kandepi | Pharmacist | 8217 Miramar Way, Lakewood Ranch, FL 34202-9003 | 2020-04-16 |
| 1891323713 | Ralph Ranie Razon | Pharmacist | 3135 Sr 580 Ste 15, Suite 15, Safety Harbor, FL 34695-3528 | 2020-03-27 |
| 1710518477 | Richard D Moss | Pharmacist | 160 Sw 12 Avenue, Suite 101 D, Deerfield Beach, FL 33442 | 2020-01-31 |
| Find all providers with the same taxonomy | ||||
| City | FORT MYERS |
| Zip Code | 33905 |
Please comment or provide details below to improve the information on MR. BRIAN WARD NELSON.
| 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.