JESSICA KRISTIN WIRTH (NPI# 1083267066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083267066 |
| Entity Type | Individual |
| Full Name | JESSICA KRISTIN WIRTH |
| Credential | PHARMD |
| Practice Address |
1355 N Ferdon Blvd Crestview FL 32536-1713 |
| Practice Telephone | 8506036187 |
| Mailing Telephone | 8506036187 |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2019-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS59396 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851774905 | Jessica Wirth | Nurse Practitioner | 2400 St Francis Dr, Breckenridge, MN 56520-1025 | 2015-07-08 |
| 1932591245 | Jessica Marian Wirth | Physician Assistant | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2015-02-23 |
| 1477635779 | Jessica Wirth | Occupational Therapist | 620 14th Ave Ne, Devils Lake, ND 58301-2808 | 2006-10-19 |
| Street Address |
1355 N FERDON BLVD |
| City | CRESTVIEW |
| State | FL |
| Zip Code | 32536-1713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063941052 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 1355 N Ferdon Blvd, Crestview, FL 32536-1713 | 2017-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831684901 | Eva Maria I Matute | Adult Companion | 6050 Trestle St, Crestview, FL 32536 | 2018-06-29 |
| 1669989232 | Lauren Estep Flowers | Physician Assistant | 550 Redstone Ave W Ste 370, Crestview, FL 32536 | 2018-01-04 |
| 1427444868 | Jessie Huisken | Social Worker | 5890 Saratoga Dr, Crestview, FL 32536 | 2015-04-13 |
| 1679846166 | John D. Carlson Md | Specialist | 492 North Wilson Street, Crestview, FL 32536 | 2012-02-15 |
| 1154609691 | Alternative Living, Inc. | Assisted Living Facility | 603 North Pearl Street, Crestview, FL 32536 | 2011-08-02 |
| 1487821526 | Michael G Foley Md Pa | Internal Medicine | 524 James Lee Blvd W, Crestview, FL 32536 | 2008-05-08 |
| 1184805830 | Advanced Family Medicine Clinic Inc | Family Medicine | 327 Medcrest Drive, Unit A, Crestview, FL 32536 | 2007-11-23 |
| 1164631511 | Caring Hearts Pediatric Extended Care Center, Inc | Clinic/Center | 380 Medcrest Dr, Crestview, FL 32536 | 2007-05-22 |
| 1669697751 | Crestview Chiropractic Clinic, Inc. | Chiropractor | 1078 S. Ferdon Boulevard, Suite A, Crestview, FL 32536 | 2007-04-16 |
| 1457492886 | Roy M Nakaiye | Dentist | 222 Cedar Ave, Crestview, FL 32536 | 2007-02-09 |
| Find all providers in zip 32536 | ||||
| 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 |
|---|---|---|---|---|
| 1033586052 | Cassandra Dayton | Pharmacist | 4793 Meadow Lake Dr, Crestview, FL 32539-6334 | 2015-08-25 |
| 1902193535 | William Lewis Everett | Pharmacist | 536 E First Ave, Crestview, FL 32536-2505 | 2011-07-04 |
| 1437212354 | Ivy Katherine Helton | Pharmacist | 150 W Old Mill Way, Crestview, FL 32539-6360 | 2006-12-19 |
| 1487663803 | Hal J. Densman | Pharmacist | 1116 N Ferdon Blvd, Crestview, FL 32536-1710 | 2006-08-05 |
| 1326649294 | Julie Michelle Ansley | Pharmacist | 3351 S Ferdon Blvd, Crestview, FL 32536-8484 | 2020-11-05 |
| 1740881614 | Jenny Carolina Chavez Reyes | Pharmacist | 3351 S Ferdon Blvd, Crestview, FL 32536-8484 | 2020-11-05 |
| 1043810591 | Nicholas Tambone | Pharmacist | 3351 S Ferdon Blvd, Crestview, FL 32536-8484 | 2020-10-26 |
| 1518578475 | John Harold Cunningham | Pharmacist | 2350 S Ferdon Blvd, Crestview, FL 32536-8461 | 2020-08-13 |
| 1245853159 | Madison Como | Pharmacist | 153 W Woodruff Ave, Crestview, FL 32536-3526 | 2020-05-26 |
| 1538708359 | Marylin Machado | Pharmacist | 2250 S Ferdon Blvd, Crestview, FL 32536-8457 | 2019-12-26 |
| Find all providers in CRESTVIEW | ||||
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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.