MR. RAYMOND DRAGANCHUK (NPI# 1114249497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114249497 |
| Entity Type | Individual |
| Full Name | MR. RAYMOND DRAGANCHUK |
| Credential | RPH |
| Practice Address |
12412 Us Highway 19 Hudson FL 34667-1950 |
| Practice Telephone | 7278635608 |
| Practice Fax Number | 7278198918 |
| Mailing Telephone | 7278635608 |
| Mailing Fax Number | 7278198918 |
| Enumeration Date | 2010-02-27 |
| Last Update Date | 2010-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS 18286 | FL | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | STATE PHARMACY LICENSE | PS 18286 | 01 |
| Street Address |
12412 US HIGHWAY 19 |
| City | HUDSON |
| State | FL |
| Zip Code | 34667-1950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629424015 | Jane Griggs | Pharmacist | 12412 Us Highway 19, Hudson, FL 34667-1950 | 2016-05-04 |
| 1487976767 | Sheila Kennedy | Pharmacy Technician | 12412 Us Highway 19, Hudson, FL 34667-1950 | 2010-02-27 |
| 1831120948 | K Mart Corp | Pharmacy | 12412 Us Highway 19, Hudson, FL 34667-1950 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417571431 | Andrea E Steyer | Speech-Language Pathologist | 7927 Sr-52 W, Hudson, FL 34667 | 2020-06-05 |
| 1760956288 | Helen Edith Yaworski | Emergency Medicine | Bayonet Point Emergency Department, 14000 Fivay Rd, Hudson, FL 34667 | 2019-01-17 |
| 1104308329 | Mark Felix Roldan | Nurse Practitioner | 13944 Lakeshore Blvd Ste C, Hudson, FL 34667 | 2018-09-04 |
| 1285181867 | Dawnlee Basile-wood | Counselor | 9416 Dibot Court, Hudson, FL 34667 | 2016-09-01 |
| 1679951321 | Joseph Robbins | Internal Medicine | 14000 Fivay Road, Hudson, FL 34667 | 2015-05-14 |
| 1043602733 | Martiale Faustin | Registered Nurse | 12715 Clock Tower Pkwy, Hudson, FL 34667 | 2015-03-04 |
| 1720418015 | Olive Spoeth | Assisted Living Facility | 8711 Cutlass Dr., Hudson, FL 34667 | 2013-11-22 |
| 1891093365 | Saxon Rehab Management LLC. | Occupational Therapist | 12404 Cobblestone Dr, Hudson, FL 34667 | 2011-03-08 |
| 1174768055 | Anthony Charles Stover | Behavioral Analyst | 14610 Conner Drive, Hudson, FL 34667 | 2008-12-08 |
| 1356594451 | Jill Bona Garcia | Speech-Language Pathologist | 11820 Denton Ave, Hudson, FL 34667 | 2008-11-03 |
| Find all providers in zip 34667 | ||||
| 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 |
|---|---|---|---|---|
| 1952922197 | Lynne Marie Millson | Pharmacist | 10 Hillside Rd, Hudson, MA 01749-1355 | 2020-04-28 |
| 1952890816 | Eric Johnson | Pharmacist | 2351 Coulee Rd, Hudson, WI 54016-9177 | 2018-05-07 |
| 1700304599 | Mary Lee Carter | Pharmacist | 7135 State Road 52 Ste 103, Hudson, FL 34667-6748 | 2017-09-01 |
| 1831646488 | Laura Mansman | Pharmacist | 77 Derry Rd., Hudson Mall, Hudson, NH 03051 | 2016-09-01 |
| 1225584576 | Kyra Kristine Messina | Pharmacist | 77 Derry Rd, Hudson, NH 03051 | 2016-08-28 |
| 1174906903 | Apexx Pharmacy | Pharmacist | 10343 State Road 52, Hudson, FL 34669-3097 | 2015-06-29 |
| 1376946384 | Ashley Wolfe | Pharmacist | 2794 Hickory Blvd, Hudson, NC 28638-9101 | 2014-10-04 |
| 1215343439 | Steven Surrette | Pharmacist | 24a Chandler Ct, Hudson, NH 03051-6901 | 2014-07-08 |
| 1609281468 | Susan Lester | Pharmacist | 239 Brentwood Dr, Hudson, OH 44236-1637 | 2014-06-30 |
| 1528478351 | Carol Meyer | Pharmacist | 7528 Forthampton Cir, Hudson, OH 44236-4692 | 2014-05-01 |
| Find all providers in HUDSON | ||||
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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.