DR. GLENN DWIGHT SAMUELS (NPI# 1831461649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831461649 |
| Entity Type | Individual |
| Full Name | DR. GLENN DWIGHT SAMUELS |
| Credential | PHARMD |
| Practice Address |
3125 Commerce Pkwy Miramar FL 33025-3944 |
| Practice Telephone | 9546327256 |
| Mailing Telephone | 9546327256 |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2012-02-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | PS46775 | FL | Pharmacy Service Providers |
| Y | 1835N1003X |
Pharmacist Specialization: Nutrition Support |
PS46775 | FL | Pharmacy Service Providers |
| Street Address |
3125 COMMERCE PKWY |
| City | MIRAMAR |
| State | FL |
| Zip Code | 33025-3944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023155538 | Tamika L Cole | Pharmacist | 3125 Commerce Pkwy, Miramar, FL 33025-3944 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538702329 | Ashley V Carter | Nutritionist | 3803 Sw 93rd Ave, Miramar, FL 33025 | 2019-10-24 |
| 1477024305 | Jeff Rocker | Counselor | 10700 City Center Blvd Apt 5245, Pembroke Pines, FL 33025 | 2018-12-17 |
| 1760959779 | Spring Health Inc | In Home Supportive Care | 1799 Sw 82nd Pl, Miramar, FL 33025 | 2018-10-28 |
| 1649763004 | Ann-marie Elizabeth Pryce | Nurse Practitioner | 8942 Sw 19th St, Miramar, FL 33025 | 2018-06-11 |
| 1588154876 | Michelle Angelle Crawford | Behavior Technician | 10630 Washington St Apt 103, Pembroke Pines, FL 33025 | 2018-05-14 |
| 1598267809 | Lydia Rosa Malcolm | Psychologist | 11820 Miramar Pkwy Ste 309, Miramar, FL 33025 | 2018-03-02 |
| 1447760657 | At Talitha Cumi Home Care, Inc. | Homemaker | 3140 Sw 120 Terr, Miramar, FL 33025 | 2017-10-03 |
| 1962924522 | Yenni Celina Cueto | Behavioral Analyst | 720 Sw 111th Ave Apt 303, Pembroke Pines, FL 33025 | 2017-07-14 |
| 1093236713 | Manoucheca Fabienne Phanord | Nurse Practitioner | 11575 City Hall Promenade, #4-150, Miramar, FL 33025 | 2017-07-03 |
| 1659801439 | Desiree Verina Nugent | Family Medicine | 3772 Sw 93rd Ave, Miramar, FL 33025 | 2017-06-14 |
| Find all providers in zip 33025 | ||||
| Taxonomy Code | 1835N1003X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Nutrition Support |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821244831 | Jeffrey Brent Greer | Pharmacist | 7125 S Tropical Trl, Merritt Island, FL 32952-6608 | 2008-08-09 |
| 1730124603 | Monica Turnblacer | Pharmacist | 4073 Se Fairway E, Stuart, FL 34997-6172 | 2006-06-17 |
| 1477525228 | Dana Ayscue Brown | Pharmacist | 200 2nd St, West Palm Beach, FL 33401-4702 | 2006-02-06 |
| 1447242896 | David L Joffe | Pharmacist | 107 11th Ave N, St Petersburg, FL 33701-1821 | 2005-08-19 |
| 1932502036 | Right Medication Solutions, Inc. | Pharmacist | 2385 Nw Executive Center Dr, Suite 100, Boca Raton, FL 33431-8579 | 2014-10-02 |
| 1215277843 | Rocco John Ballacchino | Pharmacist | 1117 Washington St, Hollywood, FL 33019-1925 | 2013-02-19 |
| 1528304151 | William Graybeal | Pharmacist | 376 Northlake Blvd, Suite 1008, Altamonte Springs, FL 32701-5261 | 2012-12-31 |
| 1346547346 | Joelle M Moliere | Pharmacist | 4501 Nw 31st Ave, Oakland Park, FL 33309-3403 | 2011-02-28 |
| 1184850984 | Kellie N Henderson | Pharmacist | 1611 Nw 12th Ave, Et-b069, Miami, FL 33136-1005 | 2009-06-08 |
| 1336386788 | Elena S Bensonoff | Pharmacist | 4330 S Manhattan Ave, Tampa, FL 33611-1304 | 2009-01-07 |
| Find all providers with the same taxonomy | ||||
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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.