GWYNETH GORDON


Address: 9650 Millpond Rd, Miramar, FL 33025-3826
Phone: 9546481629

GWYNETH GORDON (NPI# 1174156996) 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) 1174156996
Entity Type Individual
Full Name GWYNETH GORDON
Credential PHARMD
Practice Address 9650 Millpond Rd
Miramar
FL 33025-3826
Practice Telephone 9546481629
Mailing Telephone 9546481629
Enumeration Date 2020-02-20
Last Update Date 2020-02-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P1200X Pharmacist
Specialization: Pharmacotherapy
PS27618 FL Pharmacy Service Providers

Office Location

Street Address 9650 MILLPOND RD
City MIRAMAR
State FL
Zip Code 33025-3826

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Taxonomy Information

Taxonomy Code 1835P1200X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacotherapy

Taxonomy Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition]

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NPI Name Taxonomy Address Enumeration
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1871107771 Monnette Coppola Pharmacist 2907 W Winthrop Rd, Tampa, FL 33611-4040 2020-09-08
1669082194 Cindy Marie Padilla Pharmacist 600 S Dixie Hwy Apt 537, West Palm Beach, FL 33401-5852 2020-08-10
1861017592 Managed Care Med Solutions, Inc Pharmacist 1436 Mendavia Ave, Coral Gables, FL 33146-1608 2020-06-09
1124647995 Christian Calderon Pharmacist 4337 Nw 29th Way, Gainesville, FL 32605-1521 2020-04-13
1285272237 Thuy Thu Nguyen Pharmacist 11334 Nw 79th Mnr, Parkland, FL 33076-4811 2019-12-19
1982242038 Tammy Kay Domanico Pharmacist 1500 N Ocean Blvd Apt 801, Pompano Beach, FL 33062-3438 2019-12-18
1255975660 David Scott Ziska Pharmacist 9234 Brindlewood Drive, Odessa, FL 33556-3154 2019-10-30
1841847993 Duane David Ashe Pharmacist 8848 Hampden Dr, Tampa, FL 33626-2935 2019-08-23
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Competitor

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City MIRAMAR
Zip Code 33025

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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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