MR. CHARLES JOSEPH MCCOLLUM (NPI# 1841222825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841222825 |
Entity Type | Individual |
Full Name | MR. CHARLES JOSEPH MCCOLLUM |
Credential | R.PH. |
Practice Address |
1312 Manatee Ave East Bradenton FL 34208 |
Mailing Address |
2766 Ashland Lane North Port FL 34286-4319 |
Practice Telephone | 9417088520 |
Practice Fax Number | 9417088728 |
Mailing Telephone | 9414268848 |
Enumeration Date | 2006-07-07 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
PS28524 | FL | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902915671 | Charles E Mccollum | Optometrist | 1302 Enterprise Way, Marion, IL 62959 | 2006-08-29 |
1043418692 | Charles Ramsey Mccollum IIi | Internal Medicine | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2007-07-05 |
1467419960 | Charles J. Mccollum | Anesthesiology | 1201 7th St Se, Decatur, AL 35601-3337 | 2006-04-27 |
1225091689 | Charles Holmes Mccollum IIi | Surgery | 6565 Fannin St, Department of Internal Medicine, Houston, TX 77030-2707 | 2006-04-07 |
Street Address |
1312 MANATEE AVE EAST |
City | BRADENTON |
State | FL |
Zip Code | 34208 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740880566 | Michael Gerard Kulikowski | Pharmacist | 6225 E Sr 64, Bradenton, FL 34208 | 2020-10-30 |
1104431964 | Genesis Carrillo | Pharmacist | 4210 E, Fl-64, Bradenton, FL 34208 | 2020-09-09 |
1962960146 | Elite Surgery Center, LLC | Plastic Surgery | 5301 4th Ave Circle E, Bradenton, FL 34208 | 2019-03-07 |
1740777101 | Chinelo Uche | Student in an Organized Health Care Education/Training Program | 206 2nd St. E, Brandenton, FL 34208 | 2018-04-20 |
1396240040 | Nicholas Guy Ross | Student in an Organized Health Care Education/Training Program | 206 2nd St E., Bradenton, FL 34208 | 2018-03-26 |
1881196566 | Pinnacle Dental, Inc | Dentist | 5220 4th Ave. Circle E., Bradenton, FL 34208 | 2018-03-08 |
1194240176 | Bradenton Community Acupuncture | Acupuncturist | 5245 Office Park Blvd Suite 103, Bradenton, FL 34208 | 2017-08-10 |
1316490147 | Loretta Michele Deloach | Counselor | 515 27th St. S., Ste. 3, Bradenton, FL 34208 | 2016-07-28 |
1730548934 | Elodie Chimuanya Epane Kamdem | Dentist | Bright Now Dentalst, 650, 3611 1st Street, Suiyr, Bradenton, FL 34208 | 2016-02-16 |
1215303920 | Lesley Ann White | Driver | 45 Palmwood, Bradenton, FL 34208 | 2015-08-17 |
Find all providers in zip 34208 |
Taxonomy Code | 1835P1200X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacotherapy |
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619996618 | Brian Paul Martin | Pharmacist | Central Pharmacy, 1505 26th Avenue East, Bradenton, FL 34208 | 2006-07-19 |
1689609349 | Maria Caridad Sciame | Pharmacist | 10077 Cherry Hills Avenue Cir, Bradenton, FL 34202-4059 | 2006-07-11 |
1326089632 | Sharon K Beebe | Pharmacist | 7561 Harrington Ln, Bradenton, FL 34202-4086 | 2006-06-09 |
1437648482 | Daniel Adam Hernandez | Pharmacist | 4536 53rd Ave E, Bradenton, FL 34203-4112 | 2018-05-04 |
1679975502 | Marytza Loiseau | Pharmacist | 3633 Cortez Rd W, Bradenton, FL 34210-3119 | 2014-09-23 |
1861811234 | Yareli Maez | Pharmacist | 3633 Cortez Rd W # 9, Bradenton, FL 34210-3119 | 2014-04-14 |
1376583682 | George Darren Malone | Pharmacist | 919 53rd Ave E, Bradenton, FL 34203-4801 | 2006-06-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215542972 | Julia Brown | Pharmacist | 3729 S Suncoast Blvd, Homosassa, FL 34448 | 2020-09-10 |
1871107771 | Monnette Coppola | Pharmacist | 2907 W Winthrop Rd, Tampa, FL 33611-4040 | 2020-09-08 |
1669082194 | Cindy Marie Padilla | Pharmacist | 600 S Dixie Hwy Apt 537, West Palm Beach, FL 33401-5852 | 2020-08-10 |
1861017592 | Managed Care Med Solutions, Inc | Pharmacist | 1436 Mendavia Ave, Coral Gables, FL 33146-1608 | 2020-06-09 |
1124647995 | Christian Calderon | Pharmacist | 4337 Nw 29th Way, Gainesville, FL 32605-1521 | 2020-04-13 |
1174156996 | Gwyneth Gordon | Pharmacist | 9650 Millpond Rd, Miramar, FL 33025-3826 | 2020-02-20 |
1285272237 | Thuy Thu Nguyen | Pharmacist | 11334 Nw 79th Mnr, Parkland, FL 33076-4811 | 2019-12-19 |
1982242038 | Tammy Kay Domanico | Pharmacist | 1500 N Ocean Blvd Apt 801, Pompano Beach, FL 33062-3438 | 2019-12-18 |
1255975660 | David Scott Ziska | Pharmacist | 9234 Brindlewood Drive, Odessa, FL 33556-3154 | 2019-10-30 |
1841847993 | Duane David Ashe | Pharmacist | 8848 Hampden Dr, Tampa, FL 33626-2935 | 2019-08-23 |
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.