DR. GENESIS CARRILLO (NPI# 1104431964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104431964 |
| Entity Type | Individual |
| Full Name | DR. GENESIS CARRILLO |
| Practice Address |
4210 E, Fl-64 Bradenton FL 34208 |
| Practice Telephone | 9417089161 |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS61535 | FL | Pharmacy Service Providers |
| Street Address |
4210 E, FL-64 |
| City | BRADENTON |
| State | FL |
| Zip Code | 34208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880566 | Michael Gerard Kulikowski | Pharmacist | 6225 E Sr 64, Bradenton, FL 34208 | 2020-10-30 |
| 1962960146 | Elite Surgery Center, LLC | Plastic Surgery | 5301 4th Ave Circle E, Bradenton, FL 34208 | 2019-03-07 |
| 1740777101 | Chinelo Uche | Student in an Organized Health Care Education/Training Program | 206 2nd St. E, Brandenton, FL 34208 | 2018-04-20 |
| 1396240040 | Nicholas Guy Ross | Student in an Organized Health Care Education/Training Program | 206 2nd St E., Bradenton, FL 34208 | 2018-03-26 |
| 1881196566 | Pinnacle Dental, Inc | Dentist | 5220 4th Ave. Circle E., Bradenton, FL 34208 | 2018-03-08 |
| 1194240176 | Bradenton Community Acupuncture | Acupuncturist | 5245 Office Park Blvd Suite 103, Bradenton, FL 34208 | 2017-08-10 |
| 1316490147 | Loretta Michele Deloach | Counselor | 515 27th St. S., Ste. 3, Bradenton, FL 34208 | 2016-07-28 |
| 1730548934 | Elodie Chimuanya Epane Kamdem | Dentist | Bright Now Dentalst, 650, 3611 1st Street, Suiyr, Bradenton, FL 34208 | 2016-02-16 |
| 1215303920 | Lesley Ann White | Driver | 45 Palmwood, Bradenton, FL 34208 | 2015-08-17 |
| 1164824694 | Bendji Thony | Nurse Practitioner | 806 29th St Ct E, Bradenton, FL 34208 | 2014-09-16 |
| Find all providers in zip 34208 | ||||
| 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 |
|---|---|---|---|---|
| 1740880566 | Michael Gerard Kulikowski | Pharmacist | 6225 E Sr 64, Bradenton, FL 34208 | 2020-10-30 |
| 1679183743 | Shannon Mai Quinn | Pharmacist | 2901 26th St W Apt 804, Bradenton, FL 34205-3769 | 2020-08-04 |
| 1487200077 | Jessica Greer | Pharmacist | 12145 Whisper Lake Dr, Bradenton, FL 34211-4064 | 2019-08-10 |
| 1013421064 | Kelly D Pireaux | Pharmacist | 6310 Health Parkway #130, Bradenton, FL 34202 | 2017-11-29 |
| 1942654124 | Sara Y Badawy | Pharmacist | 11220 Ranch Creek Ter, Apt 208, Bradenton, FL 34211-4021 | 2016-04-14 |
| 1235506957 | Christina Elliott | Pharmacist | 8403 Grand Estuary Trl, Unit 302, Bradenton, FL 34212-4270 | 2015-08-28 |
| 1568838563 | Tina Derose | Pharmacist | 7812 Haven Harbour Way, Bradenton, FL 34212-9345 | 2015-08-13 |
| 1962893800 | Youstina Mikhail | Pharmacist | 702 51st St E Apt 1129b, Bradenton, FL 34208-5545 | 2015-02-13 |
| 1275923716 | Natasha Sullivan | Pharmacist | 6221 Willow Beck Ln, Apt 202 Bldg 9, Bradenton, FL 34202-5254 | 2015-02-04 |
| 1225428956 | Debora Fuertes-pacheco | Pharmacist | 702 51st St E Apt 1110a, Bradenton, FL 34208-5617 | 2015-02-03 |
| Find all providers in BRADENTON | ||||
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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.