MARY PUCKETT CARROLL (NPI# 1043736465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043736465 |
| Entity Type | Individual |
| Full Name | MARY PUCKETT CARROLL |
| Credential | RPH |
| Practice Address |
6201 N Suncoast Blvd Crystal River FL 34428-6712 |
| Practice Telephone | (352) 795-8460 |
| Mailing Telephone | 3527958460 |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2017-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 8070 | NC | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | PS53020 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790155141 | Mary Catherine Carroll | Dentist | 1018 Cross Bow Dr, Hendersonville, TN 37075-9402 | 2015-09-28 |
| 1285993055 | Mary Miles Carroll | Counselor | 410 E Victoria St, Santa Barbara, CA 93101-1225 | 2012-05-14 |
| 1609148378 | Mary Virginia Carroll | Doula | 216 West St, Wilkinsburg, PA 15221-3339 | 2012-01-27 |
| 1184836694 | Mary Elizabeth Carroll | Physical Therapist | 15 Halko Dr, Cedar Knolls, NJ 07927-1306 | 2007-05-04 |
| 1679674212 | Mary N. Carroll | Counselor | 1400 Barbara Loop Se Ste D, Rio Rancho, NM 87124-1088 | 2006-09-26 |
| 1750359303 | Mary Katherine Carroll | Nurse Practitioner | 7990 Arco Corporate Dr, Raleigh, NC 27617-2029 | 2006-03-09 |
| 1730153636 | Mary Elizabet Carroll | Internal Medicine | 9110 Philadelphia Rd., Ste. 108, Rosedale, MD 21237-4301 | 2006-02-15 |
| 1205474897 | Mary Catherine Carroll | Student in an Organized Health Care Education/Training Program | 1149 S Hill St Ste H-375, Los Angeles, CA 90015-2212 | 2019-12-15 |
| 1508401134 | Mary Shannon Carroll | Audiologist | 140 Bergen Street, E-1680, Newark, NJ 07103 | 2019-11-07 |
| 1407343437 | Mary Katherine Carroll | Occupational Therapist | 4210 Telegraph Ln, Vermilion, OH 44089-3748 | 2018-04-16 |
| Street Address |
6201 N SUNCOAST BLVD |
| City | CRYSTAL RIVER |
| State | FL |
| Zip Code | 34428-6712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396738506 | Beverly Vienot | Nurse Practitioner | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | 2005-08-24 |
| 1346863503 | Citrus Hma LLC | Medicare Defined Swing Bed Unit | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | 2020-05-22 |
| 1699397182 | Nancy Ruth Reader | Pharmacist | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | 2020-05-07 |
| 1003464033 | Continuum Medical Solutions, LLC | Internal Medicine | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | 2019-09-03 |
| 1215456207 | W4p LLC | Emergency Medicine | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | 2017-09-12 |
| 1467995654 | Seven Rivers Reg. Medical Center | General Acute Care Hospital | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | 2016-11-21 |
| 1679931315 | Joni Seno Capahi | Occupational Therapist | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | 2016-02-09 |
| 1366817512 | Alistair Co, Pllc | Family Medicine | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | 2015-12-13 |
| 1598163826 | Nathan D Huffaker | Nurse Anesthetist, Certified Registered | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | 2014-12-19 |
| 1174920359 | Renee Johnson | Nurse Practitioner | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | 2014-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992129639 | Kady Rae Gonzalez | Pharmacist | 6201 North Suncoast Boulevard, Crystal River, FL 34428 | 2014-02-18 |
| 1104262302 | Cedar Creek At Kings Bay, Inc | Assisted Living Facility | 231 Nw Hwy 19, Crystal River, FL 34428 | 2013-05-14 |
| 1558707828 | Lisa Kelly | Occupational Therapist | 8410 North Maple Avenue, Crystal River, FL 34428 | 2013-05-14 |
| 1235479403 | Jericka Sanders | Physical Therapy Assistant | 10105 W Ohio Dr, Crystal River, FL 34428 | 2013-02-25 |
| 1952627788 | Philip A Cenatiempo | Pharmacist | 1801 Nw Hwy 19, Crystal River, FL 34428 | 2010-04-19 |
| 1871816256 | Alexis R Bergan-guzman | Chiropractor | 116 Nw 5th Street, Crystal River, FL 34428 | 2010-03-12 |
| 1679707889 | Elizabeth Davis Mazzeo | Social Worker | 708 Ne 6th St, Crystal River, FL 34428 | 2009-05-04 |
| 1134136583 | Robert Matthew Berger | Anesthesiology | 6201 Suncoast Blvd, C/o Seven Rivers Regional, Crystal River, FL 34428 | 2006-08-01 |
| 1740211879 | K Mart Corp | Pharmacy | 1801 Northwest Hwy 19, Crystal River, FL 34428 | 2006-07-06 |
| 1174566434 | James T Stiles | Nurse Anesthetist, Certified Registered | 257 Ne Crystal St, Crystal River, FL 34428 | 2006-06-14 |
| Find all providers in zip 34428 | ||||
| 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 |
|---|---|---|---|---|
| 1790104461 | James E. Hosch | Pharmacist | 2181 S Seaport Pt, Crystal River, FL 34429-5142 | 2014-04-10 |
| 1992129639 | Kady Rae Gonzalez | Pharmacist | 6201 North Suncoast Boulevard, Crystal River, FL 34428 | 2014-02-18 |
| 1952627788 | Philip A Cenatiempo | Pharmacist | 1801 Nw Hwy 19, Crystal River, FL 34428 | 2010-04-19 |
| 1770805616 | Joseph P Hoffman | Pharmacist | 1801 Nw Us Highway 19, Crystal River, FL 34428-6133 | 2010-02-19 |
| 1639778335 | Malissa Field Watson | Pharmacist | 327 Ne Us Highway 19, Crystal River, FL 34429-4234 | 2020-10-22 |
| 1699397182 | Nancy Ruth Reader | Pharmacist | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | 2020-05-07 |
| 1720442163 | Michael William Odell | Pharmacist | 1801 Nw Us Highway 19, Crystal River, FL 34428-6133 | 2016-04-12 |
| 1518358316 | Dong Jin Kim | Pharmacist | 1651 Se Us Highway 19, Crystal River, FL 34429-4830 | 2015-02-15 |
| 1578973574 | Jacqueline Runnels | Pharmacist | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | 2014-04-30 |
| 1831510148 | Jerry Wayne Cummings | Pharmacist | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | 2014-01-05 |
| Find all providers in CRYSTAL RIVER | ||||
| City | CRYSTAL RIVER |
| Zip Code | 34428 |
Please comment or provide details below to improve the information on MARY PUCKETT CARROLL.
| 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.