JAMES GRAE MACDONALD (NPI# 1851848378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851848378 |
| Entity Type | Individual |
| Full Name | JAMES GRAE MACDONALD |
| Credential | RPH |
| Practice Address |
1850 Eldron Blvd Se Suite 7 Palm Bay FL 32909-6870 |
| Practice Telephone | 3213080303 |
| Practice Fax Number | 3213080310 |
| Mailing Telephone | 3213080303 |
| Mailing Fax Number | 3213080310 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 015806 | KY | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | PS37463 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750517736 | James B Macdonald | Dermatology | 220 N 1200 E Ste 203, Lehi, UT 84043-5864 | 2009-06-04 |
| 1235105156 | James Macdonald | Physical Therapist | 16717 Us Highway 17 N, Suite 206, Hampstead, NC 28443-3088 | 2006-02-28 |
| 1053948893 | James Robert Macdonald | Student in an Organized Health Care Education/Training Program | 9260 W Sunset Rd Ste 110, Las Vegas, NV 89148-4903 | 2020-03-23 |
| 1487119319 | James Macdonald | Physical Therapy Assistant | 12 Ingalls Ct, Methuen, MA 01844-3712 | 2019-02-05 |
| 1558713156 | James Roderick Macdonald | Nurse Practitioner | 340 Thompson Rd, Webster, MA 01570-1509 | 2016-07-07 |
| 1861739716 | James Michael Macdonald | Pharmacist | 915 Doyle Rd, Deltona, FL 32725-8254 | 2013-01-12 |
| 1992001135 | James Macdonald | Social Worker | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-5285 | 2011-02-06 |
| 1558510792 | James Athanasius Macdonald V | Obstetrics & Gynecology | 417 State St, Webber West, Suite 141, Bangor, ME 04401-6630 | 2008-09-11 |
| 1235304825 | James Alexis Macdonald Jr. | Psychiatry & Neurology | 507 N Brightleaf Blvd, Suite 100, Smithfield, NC 27577-4405 | 2008-04-24 |
| 1114079340 | James Paul Macdonald | Physical Therapist | 5290 Elvas Ave, Sacramento, CA 95819-2332 | 2007-01-17 |
| Street Address |
1850 ELDRON BLVD SE SUITE 7 |
| City | PALM BAY |
| State | FL |
| Zip Code | 32909-6870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356534838 | Pharmacy Ventures LLC | Pharmacy | 1850 Eldron Blvd Se, Unit 7, Palm Bay, FL 32909-6870 | 2007-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447349 | Sarah Nicosia | Registered Nurse | 2752 Palisades Dr, Palm Bay, FL 32909 | 2020-08-12 |
| 1447881297 | Shangri-la of Palm Bay Alf, LLC | Assisted Living Facility | 3604 Jupiter Blvd. Se, Palm Bay, FL 32909 | 2020-01-30 |
| 1972094357 | Mindful Counseling and Wellness LLC | Social Worker | 221 Devlin Ct Se, Palm Bay, FL 32909 | 2018-05-22 |
| 1306348859 | Mallory Kathleen Herndon | Behavior Technician | 458 Barcelona Rd, Palm Bay, FL 32909 | 2018-03-01 |
| 1548786627 | Chotsani Merrill | Home Health Aide | 781 Davenport St Se, Palm Bay, FL 32909 | 2017-08-21 |
| 1639629538 | Maggie Cameron | Clinic/Center | 2511 Quentin Ave Ne, Palm Bay, FL 32909 | 2016-10-04 |
| 1194195016 | Dawn Goodwin | Pharmacist | 3450 Bayside Lakes Shopping Center, Palm Bay, FL 32909 | 2015-10-05 |
| 1124407796 | Jorge Ortiz | Physical Therapist | 470 Malabar Rd Se, Ste 102, Palm Bay, FL 32909 | 2015-05-28 |
| 1932506227 | Annalisa Tietjen I | Dental Hygienist | 714 Ave C, Fort Pierce, FL 32909 | 2014-12-02 |
| 1194147611 | Carl Glenmore Morrison Sr. | General Practice | 2125 Windbrook Drive, Palm Bay, FL 32909 | 2014-01-17 |
| Find all providers in zip 32909 | ||||
| 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 |
|---|---|---|---|---|
| 1003395955 | Fidelis Ifeanyi Ezewike Jr. | Pharmacist | 2034 Palm Place Dr Ne, Palm Bay, FL 32905-3960 | 2018-08-11 |
| 1194195016 | Dawn Goodwin | Pharmacist | 3450 Bayside Lakes Shopping Center, Palm Bay, FL 32909 | 2015-10-05 |
| 1164707790 | Thiennga Huynh Vo | Pharmacist | 175 Malabard Rd Nw, Palm Bay, FL 32907 | 2011-10-14 |
| 1750673596 | Ankur A Shah | Pharmacist | 930 Malabar Rd Se Ste 1, Palm Bay, FL 32907-3252 | 2011-05-12 |
| 1588972947 | Noah J Wolkenstein | Pharmacist | 285 Olsmar St Sw, Palm Bay, FL 32908-1313 | 2010-09-20 |
| 1679899132 | Heidi Smith | Pharmacist | 4711 Babcock St Ne Ste 1, Palm Bay, FL 32905-2805 | 2010-04-08 |
| 1881803252 | Katie Helen Linton | Pharmacist | 334 Alberca St Nw, Palm Bay, FL 32907-1829 | 2007-05-22 |
| 1790886166 | Michael Blake Aldridge | Pharmacist | 5270 Babcock St Ne Ste 120, Palm Bay, FL 32905-8630 | 2006-09-26 |
| 1861420168 | Steve P Albert | Pharmacist | 1101 Malabar Rd Ne, Palm Bay, FL 32907-3261 | 2006-06-28 |
| 1265439616 | Karen Jeanette Bills | Pharmacist | 1425 Malabar Rd Ne, Palm Bay, FL 32907-2506 | 2005-06-30 |
| Find all providers in PALM BAY | ||||
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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.