DR. MATTHEW JAMES GERACI (NPI# 1962632992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962632992 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW JAMES GERACI |
| Credential | PHARMD, EOD |
| Practice Address |
800 Prudential Dr Jacksonville FL 32207-8202 |
| Mailing Address |
1305 Fireside Ct St Augustine FL 32092-5082 |
| Practice Telephone | 9046864444 |
| Mailing Telephone | 9046864444 |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2009-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
PS41511 | FL | Pharmacy Service Providers |
| Street Address |
800 PRUDENTIAL DR |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-8202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013913854 | Annette Davidson Bell | Family Medicine | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2005-06-27 |
| 1508467523 | Heather Smith | Registered Nurse | 800 Prudential Dr, Jacksonville, FL 32207-8211 | 2020-11-05 |
| 1306446638 | Jessica Schilz | Dietitian, Registered | 800 Prudential Dr, Jacksonville, FL 32207-8211 | 2020-10-27 |
| 1033718747 | Kiara Michelle Simmons | Registered Nurse | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2020-10-22 |
| 1477151488 | Nicole Schumaker | Registered Nurse | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2020-10-12 |
| 1609482868 | Anna D Denson | Nurse Practitioner | 800 Prudential Dr, Jacksonville, FL 32207-8211 | 2020-09-22 |
| 1578179453 | Emily Guan Duani | Registered Nurse | 800 Prudential Dr, Jacksonville, FL 32207-8211 | 2020-09-16 |
| 1487264636 | Heidi Marie Rebholz | Registered Nurse | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2020-08-03 |
| 1326657982 | Everrenz Health, Inc | Family Medicine | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2020-07-29 |
| 1760090302 | Matthew Ryan Jones | Anesthesiologist Assistant | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2020-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467766444 | John Andrew Coleman | Pharmacist | 8716 Nathans Cove Ct, Jacksonville, FL 32256-9536 | 2010-08-02 |
| 1134246093 | Ronald B Salem | Pharmacist | 3935 Buckskin Trl E, Jacksonville, FL 32277-9727 | 2007-03-24 |
| 1619002417 | Suheir Jahjah Jadon | Pharmacist | 12746 Tropic Dr N, Jacksonville, FL 32225-6229 | 2007-02-22 |
| 1427156298 | Feacher Leroy Williams Jr. | Pharmacist | 1847 Sunnymeade Dr, Jacksonville, FL 32211-3449 | 2006-09-20 |
| 1831742600 | Meredith Conder | Pharmacist | 7749 Normandy Blvd, Jacksonville, FL 32221-7657 | 2019-07-22 |
| 1508294299 | Marianna Singareddy | Pharmacist | 655 W 8th St, Jacksonville, FL 32209-6511 | 2013-10-16 |
| 1588913842 | Byron Kenneth Barney | Pharmacist | 10137 Lancashire Dr, Jacksonville, FL 32219-4367 | 2012-09-02 |
| 1043573108 | Brendia Thomas | Pharmacist | 655 W 8th St, Shands Jacksonville Dept. of Pharmacy, Jacksonville, FL 32209-6511 | 2012-06-22 |
| 1477833085 | Edwin Clifton Jones | Pharmacist | 4297 Oldfield Crossing Dr, Jacksonville, FL 32223-7866 | 2011-08-26 |
| 1992035661 | Felix Oghogho Obasuyi | Pharmacist | 1233 Lane Ave S, Suite 9, Jacksonville, FL 32205-6284 | 2009-12-31 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
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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.