EDDA MARIE JIMENEZ QUINONES (NPI# 1881123669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881123669 |
| Entity Type | Individual |
| Full Name | EDDA MARIE JIMENEZ QUINONES |
| Credential | PHARMD |
| Practice Address |
7814 N Dale Mabry Hwy Tampa FL 33614-3220 |
| Mailing Address |
A84 Urb San Miguel Santa Isabel PR 00757-2513 |
| Practice Telephone | 8133975300 |
| Practice Fax Number | 8134053942 |
| Mailing Telephone | 7873587097 |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2019-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | PS54793 | FL | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 6263 | PR | Pharmacy Service Providers |
| Y | 1835G0303X |
Pharmacist Specialization: Geriatric |
6263 | PR | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11010 Longboat Key Ln Apt 106, Tampa, FL 336262757 | 7873587097 | |
| 2550 Stag Run Blvd Apt 622, Clearwater, FL 33765 | 7873587097 | |
| A84 Urb San Miguel, Santa Isabel, PR 007572513 | (787) 358-7097 |
| Street Address |
7814 N DALE MABRY HWY |
| City | TAMPA |
| State | FL |
| Zip Code | 33614-3220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023065315 | Mario Eduardo Polanco | Dentist | 7814 N Dale Mabry Hwy, Tampa, FL 33614-3220 | 2006-05-30 |
| 1972125482 | Laura Davis Walls | Registered Nurse | 7814 N Dale Mabry Hwy, Tampa, FL 33614-3220 | 2020-05-07 |
| 1225681398 | Adam Bastille | Nurse Practitioner | 7814 N Dale Mabry Hwy, Tampa, FL 33614-3220 | 2019-07-18 |
| 1033779590 | Jesus Santos Moreno | Nurse Practitioner | 7814 N Dale Mabry Hwy, Tampa, FL 33614-3220 | 2019-06-17 |
| 1982112926 | Michelle J Vice | Physician Assistant | 7814 N Dale Mabry Hwy, Tampa, FL 33614-3220 | 2018-01-11 |
| 1508399601 | Pollyanna Sanchez-martinez Pitt | Family Medicine | 7814 N Dale Mabry Hwy, Tampa, FL 33614-3220 | 2017-04-05 |
| 1831639822 | Bethany Baker | Nurse Practitioner | 7814 N Dale Mabry Hwy, Tampa, FL 33614 | 2017-02-24 |
| 1124487996 | Erin Burgasser | Nurse Practitioner | 7814 N Dale Mabry Hwy, Tampa, FL 33614-3220 | 2016-02-22 |
| 1164880308 | Yordenys Collazo Eijo | Nurse Practitioner | 7814 N Dale Mabry Hwy, Tampa, FL 33614-3220 | 2016-02-03 |
| 1649638172 | Adiba Khan | Dentist | 7814 N Dale Mabry Hwy, Tampa, FL 33614-3220 | 2016-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733082 | Robin Rollena Stewart | Home Health | 9537 Lazy Lane, Apt 302, Tampa, FL 33614 | 2020-09-08 |
| 1346885761 | David Joseph Page | Nurse Practitioner | St. Joseph's Behavioral Health Center, 4918 N. Habana Ave, Tampa, FL 33614 | 2019-11-08 |
| 1134687411 | Ramon Chang Adult Family Care Home LLC | Custodial Care Facility | 2607 W Humphrey St, Tampa, FL 33614 | 2019-03-06 |
| 1134600612 | Senior Point Assisted Living Facility, LLC | Assisted Living Facility | 2940 W Hillsborough Ave, Tampa, FL 33614 | 2018-08-23 |
| 1306361266 | Larry Valdes | Assisted Living Facility | 4402 W Minnehaha St, Tampa, FL 33614 | 2017-08-11 |
| 1982128062 | Jaime F Casellas Md Corp | Internal Medicine | 4600 N Habana Ave Suit #13, Tampa, FL 33614 | 2017-07-31 |
| 1891219119 | Waveney Gittens-williams | Alzheimer Center (Dementia Center) | 3706 W. Idle Wild Cir #203, Tampa, FL 33614 | 2017-07-28 |
| 1750811857 | Syerita Nicole Morris | Counselor | 6800 N Dale Marby Hwy, Ste 164, Tampa, FL 33614 | 2017-06-13 |
| 1447786124 | Lisa Moy | Case Manager/Care Coordinator | 4001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33614 | 2017-05-02 |
| 1750813804 | Joshua Martin Good | Physical Therapy Assistant | 3363 W. Waters Avenue, Suite 700, Tampa, FL 33614 | 2017-03-29 |
| Find all providers in zip 33614 | ||||
| Taxonomy Code | 1835G0303X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Geriatric |
| A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly. |
| Notes: Source: Commission for Certification in Geriatric Pharmacy (www.ccgp.org) [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194031997 | Heather Mary Cameron | Pharmacist | 3801 Corporex Park Dr, Suite 100, Tampa, FL 33619-1183 | 2010-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306475769 | Gianluca Gullo | Pharmacist | 6463 S Falkenburg Rd, Riverview, FL 33578-8696 | 2020-04-07 |
| 1336624576 | Herbert Nichols | Pharmacist | 1583 Pratt St, Deland, FL 32720-8445 | 2018-10-02 |
| 1174061048 | Kenneth Webster Fuqua Sr. | Pharmacist | 1122 Old Polk City Rd, Lakeland, FL 33809-6622 | 2017-02-10 |
| 1366989378 | Betsy Townsend | Pharmacist | 1075 Coastal Cir, Ocoee, FL 34761-4319 | 2017-01-28 |
| 1821485046 | Gretchen Mary Petrie | Pharmacist | 1255 Kasamada Dr, Fort Myers, FL 33919-1622 | 2015-04-26 |
| 1982090080 | Lissel Cruz | Pharmacist | 7030 Sw 8th St, Pembroke Pines, FL 33023-1636 | 2015-04-15 |
| 1164869426 | Reetesh Kumar Jaiswal | Pharmacist | 5214 Neil Dr, St Petersburg, FL 33714-2401 | 2013-05-28 |
| 1013266493 | Peter L Day | Pharmacist | 6447 Nw 55th St, Coral Springs, FL 33067-2709 | 2012-08-31 |
| 1710256995 | Jonathan Michael Hickman | Pharmacist | 371 Milestone Dr, Tallahassee, FL 32312-3575 | 2011-12-18 |
| 1205118148 | David Milstein | Pharmacist | 11831 Nw 25th St, Plantation, FL 33323-1701 | 2011-09-16 |
| 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.