MARK SHUFORD (NPI# 1841854213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841854213 |
| Entity Type | Individual |
| Full Name | MARK SHUFORD |
| Practice Address |
300 Health Park Blvd Ste 1002 St Augustine FL 32086-3702 |
| Mailing Address |
3205 Turtle Creek Rd Saint Augustine FL 32086-5411 |
| Practice Telephone | 9048244556 |
| Practice Fax Number | 9048106823 |
| Mailing Telephone | 9043477345 |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2019-04-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS38096 | FL | Pharmacy Service Providers |
| Street Address |
300 HEALTH PARK BLVD STE 1002 |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32086-3702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710441100 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 300 Health Park Blvd Ste 1002, St Augustine, FL 32086-3702 | 2019-01-30 |
| 1407410871 | Kenneth Arnett | Pharmacist | 300 Health Park Blvd Ste 1002, St Augustine, FL 32086-3702 | 2019-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670037 | Ramonica Flagler | Nurse Practitioner | 3574 Us-1 South, St. Augustine, FL 32086 | 2019-10-14 |
| 1518522648 | Marissa Marie Lynch | Physician Assistant | 100 Whetstone Pl Ste 102, St Augustine, FL 32086 | 2019-05-03 |
| 1346706991 | Castillo Transportation | Non-emergency Medical Transport (VAN) | 295 North Hidden Tree Dr, Saint Augustine, FL 32086 | 2019-02-19 |
| 1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
| 1649740200 | Paul James Lietz IIi | Physical Therapist | One Orthopedic Place, Saint Augustine, FL 32086 | 2018-11-27 |
| 1548764707 | Oceanside Endodontics Od St. Augustine | Dentist | 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 | 2018-03-22 |
| 1023538329 | Joseph R Edwards | Physical Therapist | 968 Espinado Avenue, St Augustine, FL 32086 | 2017-06-27 |
| 1235662032 | Jennifer L Csenge | Dentist | 4327 Us Highway 1 S, St Augustine, FL 32086 | 2017-04-07 |
| 1336683663 | Lisa Brice | Social Worker | 248 Southpark Circle East, Saint Augustine, FL 32086 | 2016-12-06 |
| 1558813303 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 65 Whitehall Drive, Saint Augustine, FL 32086 | 2016-10-27 |
| Find all providers in zip 32086 | ||||
| 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 |
|---|---|---|---|---|
| 1831580273 | Jeffery Dean Keith Jr. | Pharmacist | 200 Paseo Terraza Unit 205, St Augustine, FL 32095-8877 | 2015-02-06 |
| 1194141119 | Dino Ajloni | Pharmacist | 4405 Sartillo Rd, St Augustine, FL 32095-5240 | 2014-03-14 |
| 1295162782 | Vincent C Pfab | Pharmacist | 549 Fox Hollow Ln, St Augustine, FL 32086-5402 | 2013-09-30 |
| 1649604182 | Kenneth E Good | Pharmacist | 101 S Ponce De Leon Blvd, St Augustine, FL 32084-4213 | 2013-08-31 |
| 1477890275 | William Anderson II | Pharmacist | 69 Valencia St, St Augustine, FL 32084-3541 | 2013-01-14 |
| 1699012641 | Stephen Ross Mayhood Jr. | Pharmacist | 4255 Us 1 S Ste 1, St Augustine, FL 32086-7000 | 2013-01-10 |
| 1376888156 | Jeffrey Lynn Humerick | Pharmacist | 3305 Woodbury Ct, St Augustine, FL 32086-5088 | 2012-12-04 |
| 1619259694 | Dennis R Sibley II | Pharmacist | 2801 N Ponce Deleon Blvd, St Augustine, FL 32084 | 2011-09-15 |
| 1477886224 | Brian N Kurz | Pharmacist | 5440 State Road 16, St Augustine, FL 32092 | 2009-09-11 |
| 1619114360 | Swarna L Pachigalla | Pharmacist | 3905 A1a S, St Augustine, FL 32080-6933 | 2009-01-17 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32086 |
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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.