DR. LEO A MONTAMBEAULT JR. (NPI# 1003023565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003023565 |
| Entity Type | Individual |
| Full Name | DR. LEO A MONTAMBEAULT JR. |
| Credential | PHARM D |
| Practice Address |
1839 58th St S Gulfport FL 33707-4154 |
| Mailing Address |
Po Box 6642 Laconia NH 03247-6642 |
| Practice Telephone | 6032798779 |
| Mailing Telephone | 6032798779 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 3451 | VT | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | R1610 | NH | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | PR4761 | ME | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | PS39669 | FL | Pharmacy Service Providers |
| Street Address |
1839 58TH ST S |
| City | GULFPORT |
| State | FL |
| Zip Code | 33707-4154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013475466 | Baycare Urgent Care, LLC | Pharmacy | 900 Carillon Parkway Ste 106, St. Petersburg, FL 33707 | 2019-03-05 |
| 1245754449 | S Dunkelberger Do LLC | Family Medicine | 6801 Gulfport Blvd S., Suite 6, Sout Pasadena, FL 33707 | 2017-07-29 |
| 1497196828 | Montego Mckinnon Sr. | Pharmacy Technician | 1501 Pasadena Shores Dr, St. Petersburg, FL 33707 | 2013-07-15 |
| 1558551580 | Linda K Barchie | Massage Therapist | 7230 Central Avenue, St Petersburg, FL 33707 | 2007-07-26 |
| 1487790770 | Margaret Helen Young | Dentist | 509 Pasadena Avenue South, St Petersburg, FL 33707 | 2007-01-30 |
| 1063567279 | Jack M Hafer | Dentist | 2525 Pasadena Ave S, Ste E, Pasadena, FL 33707 | 2007-01-25 |
| 1740331305 | Suncoast O2 Systems Inc. | Durable Medical Equipment & Medical Supplies | 5213 1st Avenue S, St. Petersburg, FL 33707 | 2007-01-12 |
| 1902987902 | Demekisa Sidamo Davis | Acupuncturist | 5301 Gulfport Blvd, Gulfport, FL 33707 | 2006-10-17 |
| 1689767691 | Mark A. Roberts | Family Medicine | 1240 81st Street South, St. Petersburg, FL 33707 | 2006-10-02 |
| 1457443004 | Darla Marie Keyes | Physical Therapist | 2825 Seabreeze Dr, Gulfport, FL 33707 | 2006-09-29 |
| Find all providers in zip 33707 | ||||
| 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 |
|---|---|---|---|---|
| 1225637424 | Milagros H. Walker | Pharmacist | 2119 Lindhridge Dr, Gulfport, MS 39507-3765 | 2020-10-20 |
| 1508373259 | Raikeisha Harper | Pharmacist | 1520 Broad Ave Ste 300, Gulfport, MS 39501-3601 | 2018-01-03 |
| 1457744856 | Lesley Eura Spencer | Pharmacist | 2433 25th Ave, Gulfport, MS 39501-4525 | 2015-03-09 |
| 1487065355 | Huong Nguyen | Pharmacist | 2433 25th Avenue, Gulfport, MS 39501 | 2014-05-14 |
| 1366872491 | William Alexis Marcia | Pharmacist | 1444 East Pass Road, Gulfport, MS 39507 | 2013-11-27 |
| 1205272184 | Racheal Latoya Jones | Pharmacist | 505 Lipscomb Ct, Gulfport, MS 39507-2868 | 2013-05-17 |
| 1033409404 | Carl Vonbodungen | Pharmacist | 11179 Highway 49, Gulfport, MS 39503 | 2011-04-19 |
| 1124327044 | Lakeisha J Jackson-patton | Pharmacist | 11279 Highway 49, Gulfport, MS 39503-3396 | 2011-03-17 |
| 1023323235 | Steven James Juraszek | Pharmacist | 2 Pass Rd, Gulfport, MS 39507-3201 | 2010-08-11 |
| 1336326636 | Janelle E Joe | Pharmacist | 11312 Highway 49, Gulfport, MS 39503-3086 | 2008-01-29 |
| Find all providers in GULFPORT | ||||
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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.