MR. SIBY THOMAS PUTHENPURAYIL (NPI# 1003181033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003181033 |
| Entity Type | Individual |
| Full Name | MR. SIBY THOMAS PUTHENPURAYIL |
| Credential | RPH |
| Practice Address |
4073 13th St Saint Cloud FL 34769-6701 |
| Practice Telephone | 4075932959 |
| Practice Fax Number | 4075932957 |
| Mailing Telephone | 4075932959 |
| Mailing Fax Number | 4075932957 |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2017-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS42494 | FL | Pharmacy Service Providers |
| N | 1835G0303X |
Pharmacist Specialization: Geriatric |
PS42494 | FL | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 00356500 | 05 |
| Street Address |
4073 13TH ST |
| City | SAINT CLOUD |
| State | FL |
| Zip Code | 34769-6701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285161083 | Ebenezer Clinical Pharmacy LLC | Pharmacy | 4073 13th St, Saint Cloud, FL 34769-6701 | 2017-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053877506 | Premier Med Pa | Clinic/Center | 2906 17th St., St Cloud, FL 34769 | 2019-02-20 |
| 1760975387 | Mayra Rosado | Psychologist | Carrousel Therapy Center, 3201 Budinger Ave., Saint Cloud, FL 34769 | 2018-06-08 |
| 1598282113 | Salud Urgent Care LLC | Clinic/Center | 3107 13th Street, Saint Cloud, FL 34769 | 2017-08-24 |
| 1710332671 | American Healthcare Community Behavioral Services LLC | Social Worker | 1203 Florida Ave., St. Cloud, FL 34769 | 2016-04-28 |
| 1215395785 | Elite Garden | Assisted Living Facility | 4319 Neptune Road, St Cloud, FL 34769 | 2016-01-29 |
| 1336506732 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 4660 13th Street, St. Cloud, FL 34769 | 2016-01-15 |
| 1306202064 | Megan Rose Mcclave | Registered Nurse | 524 13th Street, St. Cloud, FL 34769 | 2016-01-12 |
| 1821473133 | Angela Creager | Counselor | 446 Hamilton Park Circle, St. Cloud, FL 34769 | 2015-07-28 |
| 1730574906 | Jordico LLC | Assisted Living Facility | 4417 13th Street, Suite 142, Saint Cloud, FL 34769 | 2015-04-03 |
| 1255731667 | Judimar Rodriguez | Behavioral Analyst | 1605 Eastern Ave, Saint Cloud, FL 34769 | 2014-09-04 |
| Find all providers in zip 34769 | ||||
| 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 |
|---|---|---|---|---|
| 1962021154 | Svetlana Stukalova | Pharmacist | 4201 W Division St Ste A124, Saint Cloud, MN 56301-6601 | 2020-04-08 |
| 1942724471 | Sarah Elizabeth Hart | Pharmacist | 1710 E Clinton Dr, Saint Cloud, FL 34769-5506 | 2017-07-26 |
| 1326561002 | Shastri Ryan Ramsook | Pharmacist | 3891 Marietta Way, Saint Cloud, FL 34772-8716 | 2017-07-25 |
| 1689059438 | Alexandra Jae Jenson | Pharmacist | 2118 8th St N, Saint Cloud, MN 56303-6150 | 2015-07-22 |
| 1154714145 | Tania Torres | Pharmacist | 3770 Marietta Way, Saint Cloud, FL 34772-8710 | 2015-03-15 |
| 1093135337 | Carmelita Garzon Sevilla | Pharmacist | 319 Vermont Ave, Saint Cloud, FL 34769-2249 | 2014-04-25 |
| 1881011153 | Jeffrey Wick | Pharmacist | 501 Highway 10 S, Saint Cloud, MN 56304-1250 | 2014-03-25 |
| 1801169560 | Annie Preisler | Pharmacist | 5923 Prairie Rose Dr, Saint Cloud, MN 56303-1144 | 2012-02-10 |
| 1699069062 | Lynn R Young | Pharmacist | 1921 Coborn Blvd, Saint Cloud, MN 56301-2100 | 2011-06-02 |
| 1942519814 | Lezlee Franke | Pharmacist | 5801 Ridgewood Rd, Suite 1, Saint Cloud, MN 56303-1302 | 2010-09-27 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 34769 |
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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.