ADENIKE CHRISTIANA GANSALLO


Address: 4102 Heritage Lake Ct, Lutz, FL 33558
Phone: 8137847563

ADENIKE CHRISTIANA GANSALLO (NPI# 1114080652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114080652
Entity Type Individual
Full Name ADENIKE CHRISTIANA GANSALLO
Credential PHARMACIST
Practice Address 4102 Heritage Lake Ct
Lutz
FL 33558
Practice Telephone 8137847563
Practice Fax Number 8139496609
Mailing Telephone 8137847563
Mailing Fax Number 8139496609
Enumeration Date 2006-12-18
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist PS29870 FL Pharmacy Service Providers

Office Location

Street Address 4102 HERITAGE LAKE CT
City LUTZ
State FL
Zip Code 33558

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
1073905360 Polly Marcone Pharmacist 18626 Le Dauphine Pl, Lutz, FL 33558-2885 2015-02-24
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
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City LUTZ
Zip Code 33558

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Dataset Information

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.

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