MR. SHADI ATALLAH (NPI# 1023569985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023569985 |
| Entity Type | Individual |
| Full Name | MR. SHADI ATALLAH |
| Credential | PHARMD |
| Practice Address |
465 Terranova St Winter Haven FL 33884-3431 |
| Practice Telephone | 8134334719 |
| Mailing Telephone | 8134334719 |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS49463 | FL | Pharmacy Service Providers |
| Street Address |
465 TERRANOVA ST |
| City | WINTER HAVEN |
| State | FL |
| Zip Code | 33884-3431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154956480 | Kristin Helen Kiddy | Occupational Therapy Assistant | 101 Overlook Drive, Suite 103, Winter Haven, FL 33884 | 2020-03-06 |
| 1871990143 | William Santo | Specialist/Technologist | 9269 Kliber Dr., Winter Haven, FL 33884 | 2014-12-02 |
| 1346656345 | Integrative Physical Medicine of Winter Haven LLC | Specialist | 7494 Cypress Gardens Blvd, Winter Haven, FL 33884 | 2014-07-10 |
| 1568808921 | Donald Lurton Arey Jr. | Surgery | 800 Island Way, Winter Haven, FL 33884 | 2013-05-13 |
| 1407195324 | Shena R. Ranon | Nurse Practitioner | 1820 Woodpointe Dr, Winter Haven, FL 33884 | 2013-02-13 |
| 1952654543 | Mpn Medical Center of Dundee | Family Medicine | 1023 Dundee Road, Winter Haven, FL 33884 | 2012-10-19 |
| 1588941736 | Cody Gernatt | Occupational Therapist | 1120 Cypress Gardens Blvd., Winter Haven, FL 33884 | 2011-11-15 |
| 1851611677 | Paulene T Jasurek | Pharmacist | 4454 Cypress Gardens Rd, Winter Haven, FL 33884 | 2010-06-03 |
| 1306169867 | John David Butters | Speech-Language Pathologist | 208 Escambia Dr., Winter Haven, FL 33884 | 2010-03-11 |
| 1710162813 | Humphrey Chiropractic Center, P.a. | Chiropractor | 605 Overlook Drive, Suite 1, Winter Haven, FL 33884 | 2008-01-08 |
| Find all providers in zip 33884 | ||||
| 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 |
|---|---|---|---|---|
| 1942801287 | Richard Loutzenhiser | Pharmacist | 1215 Old Helena Rd, Winter Haven, FL 33884-2102 | 2020-11-03 |
| 1548867468 | Aimee Brunson | Pharmacist | 4900 Cypress Gardens Rd Apt 4, Winter Haven, FL 33884-2969 | 2020-10-04 |
| 1487291084 | Nidia Montero Miller | Pharmacist | 355 Cypress Gardens Blvd, Winter Haven, FL 33880-4452 | 2019-12-03 |
| 1801447362 | Javier Jose Martiney | Pharmacist | 4203 Thomas Wood Ln, Winter Haven, FL 33880-1157 | 2019-09-26 |
| 1417502808 | Malvika Patel | Pharmacist | 280 Ruby Lake Ln, Winter Haven, FL 33884-3266 | 2019-08-03 |
| 1447666417 | Lee Tramell Vickers | Pharmacist | 701 1st Street, Winter Haven, FL 33880 | 2014-07-10 |
| 1972841245 | Dana P Elmore | Pharmacist | 6031 Cypress Gardens Blvd, Winter Haven, FL 33884-4115 | 2013-01-22 |
| 1023399110 | Sharon Melvarita Miller | Pharmacist | 5540 Bess Ln, Winter Haven, FL 33884-4165 | 2011-09-01 |
| 1518247287 | Julie Moon Quinn | Pharmacist | 114 Waldemar Ct Se, Winter Haven, FL 33884-3804 | 2011-08-25 |
| 1255635736 | Mahe Marrero | Pharmacist | 950 1st St S Ste 103, Winter Haven, FL 33880-3607 | 2010-12-27 |
| Find all providers in WINTER HAVEN | ||||
| City | WINTER HAVEN |
| Zip Code | 33884 |
Please comment or provide details below to improve the information on MR. SHADI ATALLAH.
| 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.