POLLY MARCONE (NPI# 1073905360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073905360 |
| Entity Type | Individual |
| Full Name | POLLY MARCONE |
| Practice Address |
18626 Le Dauphine Pl Lutz FL 33558-2885 |
| Practice Telephone | 8135271818 |
| Mailing Telephone | 8135271818 |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2015-02-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS41711 | FL | Pharmacy Service Providers |
| Street Address |
18626 LE DAUPHINE PL |
| City | LUTZ |
| State | FL |
| Zip Code | 33558-2885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801353792 | Oral Maxillofacial and Implant Specialists, LLC | Dentist | 4675 Van Dyke Rd., Lutz, FL 33558 | 2019-02-27 |
| 1780175273 | Elder Services of Central Florida, Inc | Home Health | 17901 Hunting Bow Cir Ste 101, Lutz, FL 33558 | 2018-05-21 |
| 1356843106 | Physicial Medicine & Rehab Consultants | Clinic/Center | 18865 State Road 54 Ste 301, Lutz, FL 33558 | 2018-03-07 |
| 1376905851 | Michelle Renee Story | Contractor | 20921 Haulover Cv. #f6, Lutz, FL 33558 | 2016-03-24 |
| 1992192223 | Melissa Sonia Giblin | Specialist/Technologist, Other | 17535 Darby Ln, Lutz, FL 33558 | 2015-04-24 |
| 1396177739 | Zoe Scripts Laboratory Services LLC | Clinical Medical Laboratory | 4969 Van Dyke Rd., Lutz, FL 33558 | 2013-08-08 |
| 1649617705 | Suzanne Marie Newby | Physician Assistant | 16541 Pointe Village Dr Ste 209, Lutz, FL 33558 | 2013-05-30 |
| 1073889572 | Julie J. Mckean, Lmhc, Ncc, LLC | Counselor | 4929 Van Dyke Road, Lutz, FL 33558 | 2012-03-29 |
| 1750524864 | Sheetal Suryawanshi | Dentist | 17735 Hunting Bow Circle, Lutz, Florida, FL 33558 | 2009-04-20 |
| 1063675478 | Juan J Egas | Physical Medicine & Rehabilitation | 17807 Hunting Bow Cir, Lutz, FL 33558 | 2008-07-07 |
| Find all providers in zip 33558 | ||||
| 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 |
|---|---|---|---|---|
| 1124676879 | Nicholas Micciche | Pharmacist | 1621 Papoose Way, Lutz, FL 33559-8673 | 2019-08-27 |
| 1083142657 | Kalee Sullivan | Pharmacist | 18901 Hwy 54, Lutz, FL 33558-5268 | 2017-05-26 |
| 1982145090 | Charles Kershaw Smith | Pharmacist | 803 Brantenburg Way, Lutz, FL 33548-7934 | 2017-03-09 |
| 1609262765 | Leticia Rivera | Pharmacist | 2407 Silver Forrest Ln, Lutz, FL 33549-3793 | 2015-04-15 |
| 1245620632 | Tamara Ibrahim | Pharmacist | 14905 Deer Meadow Drive, Lutz, FL 33559 | 2015-01-23 |
| 1013325703 | Maria Rivera | Pharmacist | 1707 Curry Rd, Lutz, FL 33549-7024 | 2014-07-26 |
| 1710319967 | Jefrey I Fleming | Pharmacist | 2313 Forrest Crest Cir, Lutz, FL 33549-3776 | 2013-07-30 |
| 1235571589 | Anthony Richards | Pharmacist | 1419 Kensington Woods Dr, Lutz, FL 33549-3882 | 2013-07-26 |
| 1801237334 | John A Jensen Jr. | Pharmacist | 19141 Golden Cacoon Pl, Lutz, FL 33558-9061 | 2013-07-12 |
| 1083971600 | Joseph Anthony Delosreyes Jr. | Pharmacist | 906 Newberger Rd, Lutz, FL 33549-4025 | 2012-04-19 |
| Find all providers in LUTZ | ||||
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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.