MR. BERNARD KOENIG (NPI# 1972679827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972679827 |
Entity Type | Individual |
Full Name | MR. BERNARD KOENIG |
Credential | RPH |
Practice Address |
2160 S Federal Highway Winn Dixie Stuart FL 34994-4515 |
Mailing Address |
7280 Se Seagate Ln Stuart FL 34997-2161 |
Practice Telephone | 7722213402 |
Mailing Telephone | 7722192639 |
Enumeration Date | 2006-11-24 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | PS28302 | FL | Pharmacy Service Providers |
Street Address |
2160 S FEDERAL HIGHWAY WINN DIXIE |
City | STUART |
State | FL |
Zip Code | 34994-4515 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912543711 | Prestige Medical Billing. Inc | Durable Medical Equipment & Medical Supplies | 2678 Se Willoughby Blvd, Stuart, FL 34994 | 2019-11-27 |
1780229203 | Katherine Ginn | Occupational Therapist | 809 Se Central Parkway, Stuart, FL 34994 | 2019-11-07 |
1972167294 | Melissa Callaham Lcsw | Social Worker | 900 East Ocean Blvd., Suite D-130, Office 26, Stuart, FL 34994 | 2019-04-23 |
1053881300 | Spencer Perna | Chiropractor | 632 Se Monterey Rd., Stuart, FL 34994 | 2018-11-29 |
1720563521 | National Vision Inc | Technician/Technologist | 2600 Southeast Federal Highway, Stuart, FL 34994 | 2018-09-27 |
1649767351 | Frank Alario Md & Associates | Non-Pharmacy Dispensing Site | 721 South Colorado Avenue, Stuart, FL 34994 | 2018-04-18 |
1609305499 | Wideline Thelemaque-claire | Behavior Technician | 900 E Ocean Blvd, Suite 130d, Stuart, FL 34994 | 2017-06-06 |
1316488984 | Jessica Gaffney | Social Worker | 416 Se Balboa Ave., Suite 200, Stuart, FL 34994 | 2017-03-16 |
1578012035 | Essentials Medical Group, LLC | Internal Medicine | 2694 Se Willoughby Blvd, Stuart, FL 34994 | 2016-09-26 |
1356898324 | Waters Edge Dermatology Global LLC | Surgery | 2601 S Kanner Highway, Stuart, FL 34994 | 2016-09-07 |
Find all providers in zip 34994 |
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 |
---|---|---|---|---|
1497228290 | Kirsten Meacham | Pharmacist | 303 Sw 7th St Ste A, Stuart, IA 50250-2164 | 2019-01-04 |
1942735154 | Mirlande Lindor | Pharmacist | 2651 Nw Federal Highway, Stuart, FL 34994-3317 | 2017-04-25 |
1942547666 | Timothy Lee Jobson | Pharmacist | 4741 Se Chiles Ct, Stuart, FL 34997-1531 | 2013-01-15 |
1710262894 | Edward Allen Justice | Pharmacist | 700 E Ocean Blvd, Stuart, FL 34994-2332 | 2011-10-20 |
1427330158 | Gene Sherman Gray | Pharmacist | 5800 Se Federal Highway, Stuart, FL 34997 | 2011-09-20 |
1205115524 | Thomas Ira Debusk IIi | Pharmacist | 140 South Main St., Rite Aid Pharmacy, Stuart, VA 24171 | 2011-08-04 |
1235314154 | Gregory Melendez | Pharmacist | 521 Se Edgewood Dr, Stuart, FL 34996-4714 | 2008-01-09 |
1376607796 | Kimberly Issac Jones | Pharmacist | 622 Colorado Ave, Stuart, FL 34994-3016 | 2006-12-20 |
1396819777 | Colleen Leary Jochem | Pharmacist | 2160 South Federal Highway, Winn Dixie Pharmacy Store 307, Stuart, FL 34994 | 2006-11-20 |
1831281781 | Joseph A Ciccone | Pharmacist | 1267 Se Kirk St, Stuart, FL 34997-1532 | 2006-09-29 |
Find all providers in STUART |
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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.