MRS. TARA EDEN KENDALL (NPI# 1972840924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972840924 |
| Entity Type | Individual |
| Full Name | MRS. TARA EDEN KENDALL |
| Credential | PHARMD |
| Practice Address |
4495 Roosevelt Blvd Jacksonville FL 32210-3375 |
| Practice Telephone | 9043881303 |
| Mailing Telephone | 9043881303 |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2013-01-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS42460 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164052742 | Tara Meghan Kendall | Family Medicine | 2901 Medical Center Dr, Pocahontas, AR 72455-9438 | 2020-01-22 |
| Street Address |
4495 ROOSEVELT BLVD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32210-3375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174594493 | Eric Christopher Deussing | Otolaryngology | 4495 Roosevelt Blvd, Suite 304-183, Jacksonville, FL 32210-3375 | 2006-01-27 |
| 1346799004 | Nathan Glen Bialek | Pharmacist | 4495 Roosevelt Blvd, Ste E-1, Jacksonville, FL 32210-3375 | 2016-09-22 |
| 1083090534 | Kurtis PColka | Physical Therapist | 4495 Roosevelt Blvd, Jacksonville, FL 32210-3375 | 2015-08-07 |
| 1821423617 | Kids First Dentistry,inc | Dentist | 4495 Roosevelt Blvd, Suite 111, Jacksonville, FL 32210-3375 | 2013-09-11 |
| 1215377213 | Paul Leonard | Pharmacist | 4495 Roosevelt Blvd, Jacksonville, FL 32210-3375 | 2013-07-05 |
| 1548507494 | Richard Jay Roberts | Pharmacist | 4495 Roosevelt Blvd, E1, Jacksonville, FL 32210-3375 | 2013-01-12 |
| 1295072270 | Victoria Anne Mayer | Pharmacist | 4495 Roosevelt Blvd, Jacksonville, FL 32210-3375 | 2013-01-10 |
| 1376866228 | Dr. Ted Brinks & Associates | Optometrist | 4495 Roosevelt Blvd, 101, Jacksonville, FL 32210-3375 | 2010-03-08 |
| 1124340351 | Jessica Ann Braddock | Physical Therapy Assistant | 4495 Roosevelt Blvd, Suite #317, Jacksonville, FL 32210-3375 | 2010-02-15 |
| 1275682395 | Michael Stephens Family Practice Inc. | Family Medicine | 4495 Roosevelt Blvd, Suite 316, Jacksonville, FL 32210-3375 | 2007-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326604729 | Finding Balance Counseling, LLC | Counselor | 4705 Palmer Ave, Jacksonville, FL 32210 | 2019-05-13 |
| 1609349620 | Jennifer Lash | Counselor | 4705 Palmer Avenue, Jacksonville, FL 32210 | 2019-01-03 |
| 1588147854 | Alan Craig Ashkinazy | Chiropractor | 5233 Ricker Rd Ste 102, Jacksonville, FL 32210 | 2018-09-12 |
| 1841781671 | Amanda Rodriguez-medina | Chiropractor | 6640 103rd St, Jacksonville, FL 32210 | 2018-05-29 |
| 1518457357 | Vicki Teal | Nurse Practitioner | 6488 103rd Street, Suite A, Jacksonville, FL 32210 | 2018-05-17 |
| 1811412539 | River City Companionship LLC | Clinic/Center | 7857 Delaroche Drive, Jacksonville, FL 32210 | 2017-08-03 |
| 1306366216 | Always Straight From The Heart | Homemaker | 6511 Betsy Court, Jacksonville, FL 32210 | 2017-06-21 |
| 1720538556 | Total Renal Care Inc | Clinic/Center | 5276 Blanding Blvd Ste 26, Jacksonville, FL 32210 | 2016-10-05 |
| 1700333978 | Recovery Counseling and More Inc | Clinic/Center | 4570 Saint Johns Ave, Ste B, Jacksonville, FL 32210 | 2016-09-06 |
| 1831645662 | Drucilla Young | Nurse's Aide | 1700 Blanding Blvd. 68n, Jacksonville, FL 32210 | 2016-08-31 |
| Find all providers in zip 32210 | ||||
| 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 |
|---|---|---|---|---|
| 1669073128 | Kandra Williams | Pharmacist | 10148 Kings Crossing Dr, Jacksonville, FL 32219-7621 | 2020-11-02 |
| 1568062131 | Matthew David Strawbridge | Pharmacist | 1335 Edgewood Ave S, Jacksonville, FL 32205-7739 | 2020-10-31 |
| 1639779036 | Jie Song | Pharmacist | 10991 San Jose Blvd, Jacksonville, FL 32223-6675 | 2020-10-27 |
| 1417564899 | Mit Manojkumar Suthar | Pharmacist | 1773 Chandelier Cir E, Jacksonville, FL 32225-5553 | 2020-09-29 |
| 1932715398 | Sena Aydogan | Pharmacist | 753 Candlebark Dr, Jacksonville, FL 32225-5321 | 2020-09-21 |
| 1780295949 | Daniel James Carr | Pharmacist | 1301 Palm Ave Ste 201, Jacksonville, FL 32207-8432 | 2020-08-12 |
| 1760093926 | Kaetlyn Parker | Pharmacist | 1301 Palm Ave Ste 210, Jacksonville, FL 32207-8432 | 2020-08-12 |
| 1316557507 | Lauren Meagan Condon | Pharmacist | 155 Bartram Market Dr, Jacksonville, FL 32259-4581 | 2020-08-03 |
| 1134746357 | Kathryn Leigh Kettler | Pharmacist | 4836 Brierwood Rd, Jacksonville, FL 32257-8027 | 2020-07-03 |
| 1902422306 | Morene Yvonne Kelly | Pharmacist | 4255 La Losa Dr, Jacksonville, FL 32217-4640 | 2020-06-22 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32210 |
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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.