MR. MARK STEPHEN HEBB JR. (NPI# 1124470125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124470125 |
| Entity Type | Individual |
| Full Name | MR. MARK STEPHEN HEBB JR. |
| Credential | PHARMD. |
| Practice Address |
7749 Normandy Blvd Jacksonville FL 32221-7657 |
| Practice Telephone | 9047812509 |
| Mailing Telephone | 9047812509 |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2016-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS54984 | FL | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | STATE LICENSE | PS54984 | 01 |
| Street Address |
7749 NORMANDY BLVD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32221-7657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760422109 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 7749 Normandy Blvd, Jacksonville, FL 32221-7657 | 2006-06-07 |
| 1922615467 | Tiffany Lynn Bradberry | Pharmacist | 7749 Normandy Blvd, Jacksonville, FL 32221-7657 | 2020-09-29 |
| 1154938736 | Ashley Nelson | Physical Therapist | 7749 Normandy Blvd, Jacksonville, FL 32221-7657 | 2020-09-28 |
| 1831742600 | Meredith Conder | Pharmacist | 7749 Normandy Blvd, Jacksonville, FL 32221-7657 | 2019-07-22 |
| 1558854604 | Lauren Elizabeth Mccole | Physical Therapist | 7749 Normandy Blvd, Jacksonville, FL 32221-7657 | 2018-06-13 |
| 1649719311 | Chanelle Sourou | Physical Therapist | 7749 Normandy Blvd, Jacksonville, FL 32221-7657 | 2017-02-15 |
| 1548717788 | Rachel Sulzer | Speech-Language Pathologist | 7749 Normandy Blvd, Jacksonville, FL 32221-7657 | 2016-09-06 |
| 1033663000 | Jessica Hope Walters-carlson | Physical Therapist | 7749 Normandy Blvd, Suite 147, Jacksonville, FL 32221-7657 | 2016-08-08 |
| 1457709107 | Kayla Fouraker | Speech-Language Pathologist | 7749 Normandy Blvd, Suite 147, Jacksonville, FL 32221-7657 | 2016-06-02 |
| 1912377474 | Anna Yeung | Pharmacist | 7749 Normandy Blvd, Jacksonville, FL 32221-7657 | 2015-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568092534 | Ronetta S Wright | Non-emergency Medical Transport (VAN) | 8450 Perryman Ln N, Jacksonville, FL 32221 | 2020-01-18 |
| 1770128910 | Anointed Hands Support Services LLC | In Home Supportive Care | 11448 Emma Oaks Ln, Jacksonville, FL 32221 | 2019-11-12 |
| 1174173637 | Nichele Blakney | Technician | 10182 Carriage House Court, Jacksonville, FL 32221 | 2019-09-17 |
| 1659892743 | Sebastian Isaza | Dentist | 11043 Crystal Springs Rd Ste 20, Jacksonville, FL 32221 | 2017-06-29 |
| 1518497031 | Valda M Brown | Nurse's Aide | 11201 Lothmore Rd, Jacksonville, FL 32221 | 2017-06-18 |
| 1942603899 | Pain Medicine Physicians of Jacksonville, LLC | Anesthesiology | 10250 Normandy Boulevard, Suite 702, Jacksonville, FL 32221 | 2014-10-07 |
| 1376950501 | Daniel C Marin | Physician Assistant | 1584 Normandy Village Pkwy Ste 32, Jacksonville, FL 32221 | 2014-07-21 |
| 1508001850 | Lilliam Rivera | Registered Nurse | 2236 Brian Lakes Dr. E, Jacksonville, FL 32221 | 2008-12-15 |
| 1992979777 | La Quenda Mosby Pharr | Community Health Worker | 10361 Shelby Creek Rd.s, Jacksonville, FL 32221 | 2008-04-14 |
| 1922167196 | Donald Robert Engels Jr. | Chiropractor | 7661 Knoll Dr N, Jacksonville, FL 32221 | 2006-12-06 |
| Find all providers in zip 32221 | ||||
| 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 | 32221 |
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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.