JOHN COLLEY GIDNEY JR. (NPI# 1912487166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912487166 |
| Entity Type | Individual |
| Full Name | JOHN COLLEY GIDNEY JR. |
| Practice Address |
5200 Sw 34th St Gainesville FL 32608-5010 |
| Mailing Address |
7614 Sw 49th Pl Gainesville FL 32608-7421 |
| Practice Telephone | 3523751496 |
| Mailing Telephone | 7723497967 |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2018-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS58093 | FL | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PHARMACIST | PS58093 | 01 |
| Street Address |
5200 SW 34TH ST |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32608-5010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477593945 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 5200 Sw 34th St, Gainesville, FL 32608-5010 | 2006-06-06 |
| 1710530027 | Dawn Kruzan | Pharmacist | 5200 Sw 34th St, Gainesville, FL 32608-5010 | 2019-07-17 |
| 1730661109 | Jeffrey Shaffren | Pharmacist | 5200 Sw 34th St, Gainesville, FL 32608 | 2018-09-03 |
| 1649623422 | Kara Burk | Pharmacist | 5200 Sw 34th St, Gainesville, FL 32608-5010 | 2016-07-18 |
| 1871945428 | Bradley Graham | Pharmacist | 5200 Sw 34th St, Gainesville, FL 32608-5010 | 2016-07-07 |
| 1245608728 | Rachel Ann Butcher | Pharmacist | 5200 Sw 34th St, Gainesville, FL 32608-5010 | 2015-09-14 |
| 1255707741 | Cody Hampton | Pharmacist | 5200 Sw 34th St, Gainesville, FL 32608-5010 | 2015-08-19 |
| 1104164789 | Christine Ann King | Pharmacist | 5200 Sw 34th St, Gainesville, FL 32608-5010 | 2013-01-16 |
| 1437496221 | Melissa Emily Dickmann | Pharmacist | 5200 Sw 34th St, Gainesville, FL 32608-5010 | 2013-01-14 |
| 1295098481 | Stephen Christopher Ridge | Pharmacist | 5200 Sw 34th St, Gainesville, FL 32608-5010 | 2012-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609426758 | Earlene Mae Anderson | Technician | 7770 Sw 47th Lane, Gainesville, FL 32608 | 2019-09-19 |
| 1588214720 | Jimmie Lee Crawford | Technician | 7427 Sw 63rd Terrace, Gainesville, FL 32608 | 2019-09-19 |
| 1306495346 | Lori Turbow | Technician | 2600 Sw Willingston Rd, Apt. 801, Gainesville, FL 32608 | 2019-09-11 |
| 1285281527 | Advance Best Care Medical Services LLC | In Home Supportive Care | 5745 Southwest 76th Street, Suite 250, Gainesville, FL 32608 | 2019-08-21 |
| 1669948097 | Eric Scott Traub | Genetic Counselor, MS | 1699 Sw 16th Avenue, Building A, Cms B2334, Gainesville, FL 32608 | 2018-10-24 |
| 1457834053 | Riverswarmingtouch LLC | Adult Companion | 2220 Sw 34th Street, Apt 125, Gainesville, FL 32608 | 2018-09-10 |
| 1811481252 | Anthony Farmer | Dentist | 3100 Sw 35th Pl Apt 18a, Gainesville, FL 32608 | 2018-06-19 |
| 1184112823 | Zoraida Vazquez | Early Intervention Provider Agency | 7117 Sw Archer Rd Lot 2121, Gainesville, FL 32608 | 2018-04-27 |
| 1942739214 | Brittany R Brown | Homemaker | 2908 Sw 38th Place, Gainesville, FL 32608 | 2017-06-08 |
| 1639605801 | Touch of Care,llc | Home Health | 6040 Sw 63rd Blvd, Gainesville, FL 32608 | 2017-05-10 |
| Find all providers in zip 32608 | ||||
| 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 |
|---|---|---|---|---|
| 1174124572 | Jessica Rodriguez New | Pharmacist | 2892 Browns Bridge Road, Gainesville, GA 30504 | 2020-11-03 |
| 1912506171 | Bernard Kwaku Ansong Bediako | Pharmacist | 12064 Prickly Ash Way, Gainesville, VA 20155-3868 | 2020-10-20 |
| 1225651086 | Carolyn Marie Neal | Pharmacist | 2000 Sw Archer Rd # 100367, Gainesville, FL 32608-1136 | 2020-05-27 |
| 1316574429 | Richard James Marrero | Pharmacist | 1210 Sw 11th Ave Apt E204, Gainesville, FL 32601-8236 | 2020-03-26 |
| 1932731692 | Mark A Miller | Pharmacist | 5431 Sw 35th Dr Ste 200, Gainesville, FL 32608-5277 | 2020-02-10 |
| 1316580228 | Amy F Rosenberg | Pharmacist | 1600 Sw Archer Rd Fl 3003, Gainesville, FL 32610-3003 | 2019-10-23 |
| 1861034035 | Erin M Wright | Pharmacist | 1600 Sw Archer Rd # 100316, Gainesville, FL 32610-3003 | 2019-10-09 |
| 1700433224 | Joshua Barton | Pharmacist | 5927 Nw 31st Ter, Gainesville, FL 32653-1738 | 2019-08-20 |
| 1275002768 | Tasha Brower | Pharmacist | 2815 Nw 13th St, Gainesville, FL 32609-2879 | 2018-11-14 |
| 1255806071 | Amit Patel | Pharmacist | 2815 Nw 13th St # 204, Gainesville, FL 32609-2879 | 2018-10-08 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32608 |
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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.