MR. AI TI PAN


Address: 4686 E Michigan St, Orlando, FL 32812-5234
Phone: 4072771912

MR. AI TI PAN (NPI# 1013029404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013029404
Entity Type Individual
Full Name MR. AI TI PAN
Other Name EDDY PAN
Credential R.PH.
Practice Address 4686 E Michigan St
Orlando
FL 32812-5234
Mailing Address 4819 Fort Lee Ct
Orlando
FL 32822-7100
Practice Telephone 4072771912
Practice Fax Number 4072772026
Mailing Telephone 4073825931
Mailing Fax Number 4073825931
Enumeration Date 2006-08-31
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist PS0028034 FL Pharmacy Service Providers

Office Location

Street Address 4686 E MICHIGAN ST
City ORLANDO
State FL
Zip Code 32812-5234

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437261807 Bertina L Repass Pharmacy Technician 4686 E Michigan St, Orlando, FL 32812-5234 2006-08-31
1639280308 Dinh Le Kien-zella Pharmacist 4686 E Michigan St, Orlando, FL 32812-5234 2006-08-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770182651 Sarah Danielle Combs Specialist/Technologist 4521 Lenmore Street, Orlando, FL 32812 2020-10-21
1750843405 Heather Louise Anderson Physician Assistant 5422 Lewiston St, Orlando, FL 32812 2019-04-02
1437666955 Martika Haggerty Community Health Worker 3708 South Conway Road, Orlando, FL 32812 2018-01-05
1407370737 Mary Brooks Nurse Practitioner 3788 Gatlin Place Circle, Orlando, FL 32812 2017-07-28
1730602012 Kimberly S Arenburg Licensed Practical Nurse 2452 S. Conway Rd, Apt 337, Orlando, FL 32812 2017-07-19
1710409388 Deborah Larson Catron Massage Therapist 4848 Berrywood Drive, Orlando, FL 32812 2017-07-14
1689108268 Royal Transportation Group LLC Taxi 3835 Mccoy Road, Orlando, FL 32812 2017-04-20
1205289980 Yania Bradshaw Behavioral Analyst 5212 Lake Margaret Dr., Apt 1210, Orlando, FL 32812 2016-07-19
1730552548 Sarah Jean Pommier Counselor 5120 Louvre Ave, Belle Isle, FL 32812 2015-11-03
1528459336 Minh Ethan Duc Dang Physician Assistant 5058 South Conway Rd, Orlando, FL 32812 2015-02-16
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710585674 Erika Williams Pharmacist 2715 South Orlando Ave, Orlando, FL 32806 2020-10-13
1750989539 Shuai Li Pharmacist 10615 Narcoossee Rd Fl 32832, Orlando, FL 32832-6904 2020-10-13
1083220552 Dhavalkumar Bhalodia Pharmacist 717 W Lancaster Rd, Orlando, FL 32809-5994 2020-09-21
1841801834 Ky Tu Kathy Trac Pharmacist 5672 Pendleton Dr, Orlando, FL 32839-7330 2020-08-12
1023627536 Diane Ayuninjam Pharmacist 10407 Falcon Parc Blvd Apt 206, Orlando, FL 32832-5560 2020-07-30
1497363717 Erin Nicole Jacks Pharmacist 6524 Tanglewood Bay Dr Apt 1924, Orlando, FL 32821-9377 2020-07-22
1134737943 Paul Tran Pharmacist 2544 Saint Heather Way, Orlando, FL 32806-5072 2020-07-17
1225651862 Kara Camille Ramos Pharmacist 2267 Grayling St, Orlando, FL 32820-1459 2020-05-18
1528680345 Alberto Manuel Rodriguez-colon Pharmacist 620 Lochsmere Ln, Orlando, FL 32828-6673 2020-05-14
1114551819 Emily Keene Pharmacist 14185 Lake Nona Blvd, Orlando, FL 32824-7421 2020-03-03
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Competitor

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City ORLANDO
Zip Code 32812

Improve Information

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Dataset Information

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.

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