DR. ELISHA YVETTE HANSACK (NPI# 1093865693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093865693 |
| Entity Type | Individual |
| Full Name | DR. ELISHA YVETTE HANSACK |
| Other Name | ELISHA YVETTE TARVER |
| Credential | PHARMD |
| Practice Address |
2080 Child Street Jacksonville FL 32214 |
| Practice Telephone | 9045429412 |
| Practice Fax Number | 9045429649 |
| Mailing Telephone | 9045429412 |
| Mailing Fax Number | 9045429649 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS33957 | FL | Pharmacy Service Providers |
| Street Address |
2080 CHILD STREET |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730169202 | Quinn Steven Bastian | Psychologist | 2080 Child Street, Mental Health Dept - Bldg 2034 / Nh Jax, Jacksonville, FL 32214 | 2006-01-19 |
| 1760753982 | Jennifer Marie Brooks | Registered Nurse | 2080 Child Street, Jacksonville, FL 32214 | 2012-01-19 |
| 1114298338 | Louis Humberto Grass IIi | Registered Nurse | 2080 Child Street, Anesthesia Dept, Jacksonville, FL 32214 | 2012-01-19 |
| 1851685713 | John Manning Lydon | Obstetrics & Gynecology | 2080 Child Street, Jacksonville, FL 32214 | 2011-06-07 |
| 1215094552 | Barbara Jean Drobina | Emergency Medicine | 2080 Child Street, Naval Hospital Jacksonville, Jacksonville, FL 32244 | 2007-01-03 |
| 1073544466 | Ren-chang Liu | Radiology | 2080 Child Street, Jacksonville, FL 32214 | 2006-07-05 |
| 1598795742 | Beverly B. Nysewander | Nurse Practitioner | 2080 Child Street, Internal Medicine, Jacksonville, FL 32214 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699255653 | Natalia Rosa Terreros | Nurse Practitioner | 2080 Childs Street, Jacksonville, FL 32214 | 2018-08-20 |
| 1841586120 | Travis Christopher Allemang | Urology | 2080 Child St Dept 5000, Jacksonville, FL 32214 | 2011-06-24 |
| 1407342314 | Jeremiah D. Bond | Nurse Anesthetist, Certified Registered | 2080 Child St, Jacksonville, FL 32214 | 2018-07-03 |
| 1295228393 | Christopher John Gilbertson | Student in an Organized Health Care Education/Training Program | 2080 Child St, Jacksonville, FL 32214 | 2018-06-13 |
| 1043714405 | Adam Blake Hoynacki | Student in an Organized Health Care Education/Training Program | 2080 Child St, Jacksonville, FL 32214 | 2018-03-21 |
| 1154825461 | Andrew Charles Caudill | Military Health Care Provider | 2080 Child St, Jacksonville, FL 32214 | 2018-03-21 |
| 1114447950 | Brenna Michelle Smith | Pharmacist | 2080 Child St, Jacksonville, FL 32214 | 2017-06-22 |
| 1639558687 | Catherine Phuong-tu Perrault | Student in an Organized Health Care Education/Training Program | 2080 Child St, Jacksonville, FL 32214 | 2015-05-22 |
| 1184044950 | Jason Michael Pesqueira | Student in an Organized Health Care Education/Training Program | 2080 Child St, Family Medicine Clinic, Jacksonville, FL 32214 | 2014-04-21 |
| 1689791923 | Shelby Gates Topp | Otolaryngology | 2080 Child St, Nh Jacksonville - Dept of Otolaryngology, Jacksonville, FL 32214 | 2007-03-23 |
| Find all providers in zip 32214 | ||||
| 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 |
|---|---|---|---|---|
| 1669073128 | Kandra Williams | Pharmacist | 10148 Kings Crossing Dr, Jacksonville, FL 32219-7621 | 2020-11-02 |
| 1568062131 | Matthew David Strawbridge | Pharmacist | 1335 Edgewood Ave S, Jacksonville, FL 32205-7739 | 2020-10-31 |
| 1639779036 | Jie Song | Pharmacist | 10991 San Jose Blvd, Jacksonville, FL 32223-6675 | 2020-10-27 |
| 1417564899 | Mit Manojkumar Suthar | Pharmacist | 1773 Chandelier Cir E, Jacksonville, FL 32225-5553 | 2020-09-29 |
| 1932715398 | Sena Aydogan | Pharmacist | 753 Candlebark Dr, Jacksonville, FL 32225-5321 | 2020-09-21 |
| 1780295949 | Daniel James Carr | Pharmacist | 1301 Palm Ave Ste 201, Jacksonville, FL 32207-8432 | 2020-08-12 |
| 1760093926 | Kaetlyn Parker | Pharmacist | 1301 Palm Ave Ste 210, Jacksonville, FL 32207-8432 | 2020-08-12 |
| 1316557507 | Lauren Meagan Condon | Pharmacist | 155 Bartram Market Dr, Jacksonville, FL 32259-4581 | 2020-08-03 |
| 1134746357 | Kathryn Leigh Kettler | Pharmacist | 4836 Brierwood Rd, Jacksonville, FL 32257-8027 | 2020-07-03 |
| 1902422306 | Morene Yvonne Kelly | Pharmacist | 4255 La Losa Dr, Jacksonville, FL 32217-4640 | 2020-06-22 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32214 |
Please comment or provide details below to improve the information on DR. ELISHA YVETTE HANSACK.
| 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.