MR. LAWRENCE ALAN GORDIN (NPI# 1003036864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003036864 |
| Entity Type | Individual |
| Full Name | MR. LAWRENCE ALAN GORDIN |
| Credential | RPH |
| Practice Address |
20311 Grande Oaks Shoppes Blvd Estero FL 33928 |
| Mailing Address |
11462 Pembrook Run Estero FL 33928-3251 |
| Practice Telephone | 2394959013 |
| Practice Fax Number | 2394957638 |
| Mailing Telephone | 2394952969 |
| Enumeration Date | 2007-04-26 |
| 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 | 0202006174 | VA | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | PS19132 | FL | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | PHARMACIST LICENSE | 0202006174 | 01 |
| FL | PHARMACIST LICENSE | PS19132 | 01 |
| Street Address |
20311 GRANDE OAKS SHOPPES BLVD |
| City | ESTERO |
| State | FL |
| Zip Code | 33928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578055588 | Jeremiah S Mossman | Nurse Anesthetist, Certified Registered | 21586 Belvedere Ln, Estero, FL 33928 | 2018-06-05 |
| 1376030361 | Trish Daino Lisw LLC | Social Worker | 9180 Estero Park Commons, Ste 2, Suite 2, Estero, FL 33928 | 2018-04-16 |
| 1861994204 | Kin Med, Pa | General Practice | 19910 S Tamiami Trail Ste C, Estero, FL 33928 | 2018-03-01 |
| 1073031225 | Dieu Huyen Thi Le | Pharmacist | 20311 Grande Oak Blvd, Estero, FL 33928 | 2017-09-07 |
| 1295284008 | National Vision, Inc. | Technician/Technologist | 22907 Lyden Dr, Estero, FL 33928 | 2016-09-22 |
| 1275982654 | Eileen Cherbini | Counselor | 13616 Canola Ct, Estero, FL 33928 | 2016-06-07 |
| 1952759342 | Alexander Conrad | Counselor | 8010 Sardinia Way Unit #221, Estero, FL 33928 | 2016-05-26 |
| 1154700466 | Estero Eyecare | Clinic/Center | 21753 Brixham Run Loop, Estero, FL 33928 | 2015-05-20 |
| 1982082335 | Gulfshore Pediatric Dentistry, P.a. | Dentist | 9921 Corkscrew Rd, Estero, FL 33928 | 2015-05-18 |
| 1942697149 | Conor William Byrt | Emergency Medicine | 21731 Sound Way, 102, Estero, FL 33928 | 2015-04-25 |
| Find all providers in zip 33928 | ||||
| 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 |
|---|---|---|---|---|
| 1073031225 | Dieu Huyen Thi Le | Pharmacist | 20311 Grande Oak Blvd, Estero, FL 33928 | 2017-09-07 |
| 1699123869 | Michael Semcken | Pharmacist | 10231 Tin Maple Dr, Unit 78, Estero, FL 33928-7416 | 2016-05-29 |
| 1558616649 | Madonna Rose Wilcox | Pharmacist | 20061 Larino Loop, Estero, FL 33928-6363 | 2012-07-16 |
| 1710263090 | Trudi-ann Blackellar | Pharmacist | 10200 Olivewood Way Unit 39, Estero, FL 33928-7404 | 2011-10-31 |
| 1730153487 | Eli Robert Berkofsky | Pharmacist | 13470 Brown Bear Run, Estero, FL 33928-6445 | 2006-02-16 |
| 1306443957 | Cierra Anne Thompson | Pharmacist | 21950 S Tamiami Trl, Estero, FL 33928-3231 | 2020-10-07 |
| 1730792227 | Ashley Amilcar | Pharmacist | 21950 S Tamiami Trl, Estero, FL 33928-3231 | 2020-08-25 |
| 1871060921 | Nina Truc Uyen Nguyen | Pharmacist | 21301 S Tamiami Trl Ste 200, Estero, FL 33928-2943 | 2018-10-26 |
| 1760981641 | Daniel James Ray | Pharmacist | 20311 Grande Oak Shoppes Blvd, Estero, FL 33928-7662 | 2018-02-07 |
| 1063930923 | Aisha Gomango | Pharmacist | 21301 S Tamiami Trl, Estero, FL 33928-2942 | 2017-08-31 |
| Find all providers in ESTERO | ||||
Please comment or provide details below to improve the information on MR. LAWRENCE ALAN GORDIN.
| 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.