CRYSTAL DANIELLE WILLIS (NPI# 1013289800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013289800 |
| Entity Type | Individual |
| Full Name | CRYSTAL DANIELLE WILLIS |
| Credential | PHARMD |
| Practice Address |
2102 W Baker St Plant City FL 33563-1643 |
| Mailing Address |
3710 N Wilder Rd Plant City FL 33565-2682 |
| Practice Telephone | 8137598733 |
| Mailing Telephone | 8137167220 |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2012-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS46299 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568813830 | Crystal Willis | Licensed Practical Nurse | 253 Roddy Branch Rd, Rockford, TN 37853-3108 | 2016-06-28 |
| 1013211911 | Crystal Ann Willis | Rehabilitation Practitioner | 2821 White Peaks Ave, N Las Vegas, NV 89081-2437 | 2011-01-06 |
| 1316459662 | Crystal Willis | Case Manager/Care Coordinator | 150 Cross St, Akron, OH 44311-1026 | 2017-10-26 |
| 1164882320 | Crystal L Willis | Registered Nurse | 2000 Hampton St, Columbia, SC 29204-1002 | 2016-03-02 |
| 1639413966 | Crystal Lynn Willis | Physical Therapy Assistant | 775 Sunset Dr, Athens, GA 30606-2211 | 2012-11-27 |
| Street Address |
2102 W BAKER ST |
| City | PLANT CITY |
| State | FL |
| Zip Code | 33563-1643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386659571 | Walgreen Co | Pharmacy | 2102 W Baker St, Plant City, FL 33563-1643 | 2006-07-29 |
| 1366850893 | Elyana Garcia | Pharmacist | 2102 W Baker St, Plant City, FL 33563-1643 | 2014-07-29 |
| 1730450503 | Rajeev K Thomas | Pharmacist | 2102 W Baker St, Plant City, FL 33563 | 2012-01-25 |
| 1104197771 | Tsung-min Cheng | Pharmacist | 2102 W Baker St, Plant City, FL 33563-1643 | 2012-01-13 |
| 1497025134 | Kandyce Ange'le Baillou | Pharmacist | 2102 W Baker St, Plant City, FL 33563-1643 | 2012-01-11 |
| 1134499064 | Kimberly Dianne Palsis | Pharmacist | 2102 W Baker St, Plant City, FL 33563-1643 | 2012-01-10 |
| 1407138621 | Alison Jamila Ward | Pharmacist | 2102 W Baker St, Plant City, FL 33563-1643 | 2011-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738063 | Selena Giordano | Counselor | 1001 East Baker Street #100, Plant City, FL 33563 | 2020-10-22 |
| 1275171787 | Mary Ann Dillon | Nutritionist | 2011 N Wheeler Street, Plant City, FL 33563 | 2019-12-16 |
| 1023504271 | Florida Family Primary Care Centers of Tampa, LLC | Pediatrics | 1608 Oak Ave, Plant City, FL 33563 | 2018-07-10 |
| 1770092215 | Jennifer Lauren Zeljkovic | Nurse Practitioner | 1703 W. Thonotosassa Rd. A, Plant City, FL 33563 | 2017-09-27 |
| 1831632116 | Nusrat Bangash | Nurse Practitioner | 306 W Dixie St, Plant City, FL 33563 | 2016-11-18 |
| 1265987416 | Genice Collins Davis | Counselor | Heads, 100 E Baker Street #100, Plant City, FL 33563 | 2016-08-17 |
| 1184017089 | The Creative Chance | Counselor | 1803 C Collins Common James Redman Parkway, Plant City, FL 33563 | 2015-03-17 |
| 1518361377 | Anne J Lafontant | General Practice | 1509 W. Reynolds St Jay Care Medical Center, Plant City, FL 33563 | 2014-10-22 |
| 1003160201 | Heritage View Alf Inc. | Assisted Living Facility | 104 N. Gordon Street, Tampa, FL 33563 | 2012-11-09 |
| 1841455607 | Darshan Bhupen Shah | Family Medicine | 301 North Alexander Street, Advanced Care Hospitalists, Plant City, FL 33563 | 2008-07-22 |
| Find all providers in zip 33563 | ||||
| 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 |
|---|---|---|---|---|
| 1467799841 | Yaser Chaar | Pharmacist | 404 N Alexander St, Plant City, FL 33563-4306 | 2013-01-06 |
| 1386908390 | Samantha Lynne Messick | Pharmacist | 507 S Wheeler St, Plant City, FL 33563-5441 | 2012-06-25 |
| 1356474308 | Manjit Singh Matharu | Pharmacist | 1423 S Collins St, Plant City, FL 33563-6577 | 2007-03-13 |
| 1780751990 | Robert E Reece | Pharmacist | 205 W Alexander St, Plant City, FL 33563-7158 | 2006-11-30 |
| 1114920337 | Matthew Campbell Bardin | Pharmacist | 301 N Alexander St, Plant City, FL 33563-4303 | 2005-05-23 |
| 1225638968 | Joseph Rowe | Pharmacist | 2202 James L Redman Pkwy, Plant City, FL 33563-7107 | 2020-10-30 |
| 1205436219 | Madhavi Sambaraju | Pharmacist | 2602 Jim Redman Pkwy, Plant City, FL 33566-9460 | 2020-10-28 |
| 1821698135 | Suja Alex | Pharmacist | 2602 Jim Redman Pkwy, Plant City, FL 33566-9460 | 2020-10-27 |
| 1215537675 | Alan Tang | Pharmacist | 2602 Jim Redman Pkwy, Plant City, FL 33566-9460 | 2020-10-27 |
| 1720687338 | Robert Powell Iv | Pharmacist | 205 W Alexander St, Plant City, FL 33563-7158 | 2020-10-23 |
| Find all providers in PLANT CITY | ||||
| City | PLANT CITY |
| Zip Code | 33563 |
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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.