SAMUEL J FENN (NPI# 1033247119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033247119 |
| Entity Type | Individual |
| Full Name | SAMUEL J FENN |
| Credential | RPH |
| Practice Address |
3539 Lakeview Dr Tallahassee FL 32310-6314 |
| Practice Telephone | 8505765072 |
| Practice Fax Number | 8505622261 |
| Mailing Telephone | 8505765072 |
| Mailing Fax Number | 8505622261 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 10631 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598726754 | Samuel Gregory Fenn | Chiropractor | 318 5th St, Butler, PA 16001-4683 | 2006-03-29 |
| Street Address |
3539 LAKEVIEW DR |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32310-6314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376097436 | Hector Saucedo | Dentist | Ave. Lopez Mateos 1524, Suite 1, Juarez, CHIHUAHUA 32310 | 2016-08-06 |
| 1548622988 | Gloria Luz Angelica Carranza Sanchez | Dentist | Tepeyac 2722, Col. Cordoba-americas, Cd. Juarez, CHIHUAHUA 32310 | 2016-03-24 |
| 1205216108 | Claudio Avila | Dentist | Calle Zempoala #3410-a, Juarez, CHIHUAHUA 32310 | 2015-06-05 |
| 1154713865 | Marco Lara | Dentist | Simon Bolivar #8533, Suite 7, Juarez, CHIHUAHUA 32310 | 2015-03-04 |
| 1932599925 | Heather Alexander | Dental Assistant | 4513 Avenida Paseo De La Reforma, Ciudad Juarez, CHIHUAHUA 32310 | 2015-01-28 |
| 1942637129 | Verna M Williams | In Home Supportive Care | 8483 Bay Cedar Drive, Tallahassee, FL 32310 | 2013-10-02 |
| 1780925800 | Miguel Moran | Dentist | P. E. Calles #783 Nte., Ciudad Juarez, CHIHUAHUA 32310 | 2013-03-14 |
| 1467767897 | Herdz Inc. | Dentist | 4007 Rio Yaqui, Cd.juarez, CHIH. 32310 | 2010-08-10 |
| 1710214705 | Laura Solis | Dentist | Paseo T. De La Republica #2825-14a, Juarez, CHIHUAHUA 32310 | 2009-11-11 |
| 1245567684 | Maria De Jesus Guereca | Dentist | Ave. Espejo #79-a, Cd Juarez, CHIH 32310 | 2009-11-05 |
| Find all providers in zip 32310 | ||||
| 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 |
|---|---|---|---|---|
| 1548860596 | Stacy Poe | Pharmacist | 4021 Lagniappe Way, Tallahassee, FL 32317-1201 | 2020-10-29 |
| 1922610351 | Noura Khattab | Pharmacist | 6475 Tracy Ln, Tallahassee, FL 32309-2174 | 2020-08-18 |
| 1831718634 | Jim Saintremy | Pharmacist | 900 Riggins Rd Apt 411, Tallahassee, FL 32308-0002 | 2020-04-11 |
| 1821617754 | Mikhail Ashley Tolbert | Pharmacist | 2519 Old Bainbridge Rd Apt D, Tallahassee, FL 32303-3562 | 2020-04-10 |
| 1992335467 | Twila Monisa Wright | Pharmacist | 1033 Piney Z Plantation Rd, Tallahassee, FL 32311-1252 | 2020-01-23 |
| 1497398333 | Kyli Roberts | Pharmacist | 1557 Copperfield Cir, Tallahassee, FL 32312-3795 | 2019-10-23 |
| 1356901813 | Ann Elizabeth Guillen | Pharmacist | 3432 Clifden Dr, Tallahassee, FL 32309-2438 | 2019-06-17 |
| 1114498706 | Musa Mohammad Darwish | Pharmacist | 2350 Phillips Rd Apt 4305, Tallahassee, FL 32308-5380 | 2018-12-08 |
| 1871074377 | Andrea Rukiya Butler | Pharmacist | 8332 Balmoral Dr, Tallahassee, FL 32311-9442 | 2018-08-23 |
| 1245755180 | Marrissa Walker | Pharmacist | 5032 Capital Cir Sw Ste 1, Tallahassee, FL 32305-7886 | 2017-08-11 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32310 |
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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.