STEPHANIE RUTLEDGE WALLACE (NPI# 1871516559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871516559 |
| Entity Type | Individual |
| Full Name | STEPHANIE RUTLEDGE WALLACE |
| Other Name | MISS STEPHANIE DENISE RUTLEDGE |
| Credential | RPH |
| Practice Address |
2216 Hollywood Blvd Hollywood FL 33020-6702 |
| Mailing Address |
14480 Sw 37th St Miramar FL 33027-3790 |
| Practice Telephone | 9549262914 |
| Practice Fax Number | 9549262957 |
| Mailing Telephone | 9544991713 |
| Mailing Fax Number | 9544991714 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS21192 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225509524 | Stephanie Wallace | Speech-Language Pathologist | 1014 Glen Crossing Rd, Glen Carbon, IL 62034-8517 | 2018-12-11 |
| 1679755003 | Stephanie R Wallace | Occupational Therapy Assistant | 5626 Lasater Dr Nw Apt 5, Canton, OH 44718-1923 | 2007-11-27 |
| 1841289022 | Stephanie R Wallace | Pediatrics | 2405 Research Parkway, Colorado Springs, CO 80918 | 2005-10-19 |
| 1023619061 | Stephanie Lynn Wallace | Pharmacist | 254 Cassidy Blvd, Pikeville, KY 41501-1426 | 2020-11-05 |
| 1750988127 | Stephanie Wallace | Marriage & Family Therapist | 730 Medical Center Ct, Chula Vista, CA 91911-6618 | 2020-10-07 |
| 1407483878 | Stephanie L Wallace | Marriage & Family Therapist | 1212 Hancock St Ste 205, Quincy, MA 02169-4371 | 2020-03-25 |
| 1427534718 | Stephanie E Wallace | Nurse Anesthetist, Certified Registered | 200 Mercy Circle, Camp Pendleton, CA 92055 | 2018-07-19 |
| 1740791714 | Stephanie Wallace | Genetic Counselor, MS | 6431 Fannin Street, Msb 6.100, Houston, TX 77030 | 2017-10-18 |
| 1477924082 | Stephanie Wallace | Physician Assistant | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2015-10-08 |
| 1477943223 | Stephanie Wallace | Pharmacist | 815 Cheyenne Meadows Rd, Colorado Springs, CO 80906-4929 | 2015-02-02 |
| Street Address |
2216 HOLLYWOOD BLVD |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33020-6702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699790170 | Humana Medical Plan Inc | Pharmacy | 2216 Hollywood Blvd, Hollywood, FL 33020-6702 | 2006-07-13 |
| 1932410222 | Joseph A. Rodriguez, M.d., P.a. | Family Medicine | 2216 Hollywood Blvd, Hollywood, FL 33020-6702 | 2010-07-01 |
| 1467663997 | Joseph Anthony Rodriguez | Family Medicine | 2216 Hollywood Blvd, Hollywood, FL 33020-6702 | 2007-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629694203 | Oaks Medical Group, LLC | Internal Medicine | 2854 Jackson St, Hollywood, FL 33020 | 2020-06-19 |
| 1487217949 | Yaneisy Correa Vento Sr. | Nurse Practitioner | 2700 E Hollywood Blud, Hollywood, FL 33020 | 2019-04-19 |
| 1811453590 | Sandra's Car Service LLC | Non-emergency Medical Transport (VAN) | 2048 Mckinley St. Bay #1, Hollywood, FL 33020 | 2019-02-18 |
| 1134605330 | Cruz Ines Diaz | Peer Specialist | 3400 N- 29th Avenue, Hollywood, FL 33020 | 2018-07-11 |
| 1598258451 | Brian Tran | Dentist | 1704 Stirling Rd., Hollywood, FL 33020 | 2018-06-14 |
| 1295223451 | Broward Treatment Center | Substance Abuse Rehabilitation Facility | 1101 S 21 Ave, Hollywood, FL 33020 | 2018-04-24 |
| 1033617220 | Laura Goldman | Psychologist | 2514 Hollywood Blvd Ste 404, Hollywood, FL 33020 | 2018-01-23 |
| 1205344835 | Sunshine Health Supplies LLC | Durable Medical Equipment & Medical Supplies | 1926 Hollywood Blvd Ste 204, Hollywood, FL 33020 | 2018-01-17 |
| 1124536222 | Melina Rodriguez | Counselor | 3400 N 29th Avenue, Hollywood, FL 33020 | 2018-01-11 |
| 1003337783 | Publix Super Markers, Inc | Durable Medical Equipment & Medical Supplies | 1776 Polk St., Hollywood, FL 33020 | 2017-07-03 |
| Find all providers in zip 33020 | ||||
| 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 |
|---|---|---|---|---|
| 1962002519 | Sara Margaret Roberts | Pharmacist | 45055 Millstone Ln, Hollywood, MD 20636-2852 | 2020-10-31 |
| 1861092637 | Hina Y Shah | Pharmacist | 11153 Chandler Dr, Hollywood, FL 33026-4740 | 2020-10-29 |
| 1003423377 | Terri Donofrio | Pharmacist | 5678 Captain Kidd Rd, Hollywood, SC 29449-6801 | 2020-09-30 |
| 1932720794 | Olaya Mosquera | Pharmacist | 2140 N 29th Ave Apt 308, Hollywood, FL 33020-1723 | 2020-05-04 |
| 1316576648 | Ekaterina Bernadskiy | Pharmacist | 1261 Coral Ln, Hollywood, FL 33019-2203 | 2020-04-07 |
| 1912405028 | Sherin Varikatt | Pharmacist | 3704 Beach Way, Hollywood, FL 33026-1208 | 2018-01-24 |
| 1164944757 | Olivia Sanchez | Pharmacist | 360 S State Road 7, Hollywood, FL 33023-6718 | 2017-07-14 |
| 1942722681 | Gastro Health, LLC | Pharmacist | 4700 Sheridan St Ste F, Hollywood, FL 33021-3416 | 2017-07-14 |
| 1336661073 | Gastro Health, LLC | Pharmacist | 11011 Sheridan St Ste 109, Hollywood, FL 33026-1501 | 2017-07-14 |
| 1649664541 | Chanel Thompson | Pharmacist | 4820 Johnson St, Hollywood, FL 33021-5211 | 2015-03-28 |
| Find all providers in HOLLYWOOD | ||||
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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.