ONE SOURCE PHARMACY OF BRADENTON (NPI# 1770873135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770873135 |
| Entity Type | Organization |
| Organization Name | ONE SOURCE PHARMACY OF BRADENTON |
| Practice Address |
3501 Cortez Rd W Unit 901b Bradenton FL 34210 |
| Mailing Address |
6404 Old Winter Garden Rd Orlando FL 32835-1348 |
| Practice Telephone | 8774908987 |
| Practice Fax Number | 8774908987 |
| Mailing Telephone | 8774908987 |
| Mailing Fax Number | 8774908987 |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2011-04-19 |
| Authorized Official Name | INDRAJIT VYAS (OWNER/MGR) |
| Authorized Official Telephone | 8774908987 |
| Is Organization Subpart | Y |
| Parent Organization Name | ONE SOURCE PHARMACY, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH25399 | FL | Suppliers |
| Street Address |
3501 CORTEZ RD W UNIT 901B |
| City | BRADENTON |
| State | FL |
| Zip Code | 34210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821091422 | Brent Rubin | Podiatrist | 3501 Cortez Rd W, Bradenton, FL 34210-3104 | 2005-05-27 |
| 1477076800 | Margaret Vaccaro | Nurse Practitioner | 3501 Cortez Rd W, Bradenton, FL 34210-3196 | 2017-07-18 |
| 1861851354 | Nelsie Walker, Pa | Counselor | 3501 Cortez Rd W, Main Lobby, Bradenton, FL 34210-3104 | 2016-02-12 |
| 1619384310 | Karen Laubach | Nurse Practitioner | 3501 Cortez Rd W, Bradenton, FL 34210-3104 | 2014-07-15 |
| 1700162385 | Cheryl Lynn Lasater | Nurse Practitioner | 3501 Cortez Rd W, Bradenton, FL 34210-3104 | 2011-10-27 |
| 1700993532 | Ricky Bernardo | Specialist | 3501 Cortez Rd W, Pod #2, Bradenton, FL 34210-3104 | 2006-08-25 |
| 1487665642 | Healthcare America Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 3501 Cortez Rd W, Bradenton, FL 34210-3104 | 2006-08-11 |
| 1841219821 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3501 Cortez Rd W, Bradenton, FL 34210-3104 | 2006-07-19 |
| 1578591830 | Carol Lewis | Nurse Practitioner | 3501 Cortez Rd W, Bradenton, FL 34210-3104 | 2006-06-28 |
| 1851398648 | Craig B. Hoffman | Family Medicine | 3501 Cortez Rd W, Bradenton, FL 34210-3104 | 2005-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407337512 | Global Therapy and Wellness, Pllc | Social Worker | 6112 45th Street West, Bradenton, FL 34210 | 2018-08-27 |
| 1962912881 | Armer Alcorn | Specialist/Technologist | 5650 Bollettieri Blvd, Bradenton, FL 34210 | 2017-10-05 |
| 1053779611 | Therapeutic Lifestyle Solutions LLC | Occupational Therapist | 4702 Cortez Road, W Bradenton, FL 34210 | 2016-02-10 |
| 1831568344 | Alignment Healthcare Florida LLC | Clinic/Center | 3501 Cortez Rd. West, Jacksonville, FL 34210 | 2015-09-15 |
| 1659758910 | Vinai Artyamsoal | Obstetrics & Gynecology | 3633 Cortez Road West, Unit B-3, Bradenton, FL 34210 | 2015-05-06 |
| 1922355957 | Florida Medical Specialists | Dermatology | 4351 Cortez Rd W, Suite 101, Bradenton, FL 34210 | 2012-08-09 |
| 1386943728 | Valerie A Valle | Psychologist | 5650 Bollettieir Blvd, Bradenton, FL 34210 | 2011-03-24 |
| 1881899938 | Genevieve Duremdez Flexicare Physical Therapy | Physical Therapist | 3701 54th Dr. W. Bldg. M-101, Bradenton, FL 34210 | 2007-06-19 |
| 1194843623 | Steve C Hannan | Pharmacist | 4400 75th St. W., Bradenton, FL 34210 | 2007-03-26 |
| 1881761153 | Ruth Sidonie Cohn Eisner | Psychiatry & Neurology | 3639 Cortez Rd W Suite 108, Bradenton, FL 34210 | 2006-11-29 |
| Find all providers in zip 34210 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780297655 | Healthy Living Pharmacy LLC | Pharmacy | 755 Rosemary Cir, Bradenton, FL 34212-5015 | 2020-08-28 |
| 1649811506 | Fenix Drug Store, LLC | Pharmacy | 527 13th St W, Bradenton, FL 34205 | 2019-10-02 |
| 1134789639 | Costco Wholesale Corporation | Pharmacy | 805 Lighthouse Dr., Bradenton, FL 34212 | 2019-06-17 |
| 1831657782 | Pnh LLC | Pharmacy | 4418 E State Road 64, Bradenton, FL 34208-9061 | 2019-03-11 |
| 1811468143 | Life Pharmacy Inc | Pharmacy | 4144 Lakewood Ranch Blvd, Bradenton, FL 34211 | 2018-12-16 |
| 1770069361 | America's Pharmacy LLC. | Pharmacy | 5612 14th St W, Bradenton, FL 34207 | 2018-07-17 |
| 1841537826 | Fort Myers Beach Pharmacy | Pharmacy | 1003 8th Ave W, Bradenton, FL 34205-7709 | 2013-01-10 |
| 1285945386 | Swastik Rx LLC | Pharmacy | 2110 Manatee Ave E, Bradenton, FL 34208-1660 | 2010-06-23 |
| 1861718892 | Sonee Pharmacy Services Inc | Pharmacy | 6229 14th St W, Bradenton, FL 34207-4611 | 2010-04-15 |
| 1134359805 | David M Williams Enterprises, LLC | Pharmacy | 1824 59th St W, Bradenton, FL 34209-4630 | 2009-07-16 |
| Find all providers in BRADENTON | ||||
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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.