ETHAN SMITH (NPI# 1184151896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184151896 |
| Entity Type | Individual |
| Full Name | ETHAN SMITH |
| Credential | PHARMD |
| Practice Address |
3304 Bonita Beach Road Bonita Springs FL 31434 |
| Practice Telephone | 2394951700 |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-05-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 033.0096258 | VT | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | PS54808 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801435599 | Ethan John Smith | Nurse Anesthetist, Certified Registered | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2019-12-30 |
| 1144657966 | Ethan Smith | Social Worker | 540 3rd St, Idaho Falls, ID 83401-3953 | 2013-10-11 |
| 1659502490 | Ethan Bennet Smith | Clinic/Center | 95 Circular Ave, Hamden, CT 06514-4004 | 2009-07-28 |
| 1457477358 | Ethan Andrew Smith | Radiology | 3333 Burnet Avenue, Ml 5031, Cincinnati, OH 45229-3026 | 2007-03-22 |
| Street Address |
3304 BONITA BEACH ROAD |
| City | BONITA SPRINGS |
| State | FL |
| Zip Code | 31434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566249 | 1st Care of Naples Inc. | Home Health | 9420 Bonita Beach Rd Se Ste 203, Bonita Springs, FL 34135-4774 | 2020-10-23 |
| 1679180491 | Douglas Demars | Massage Therapist | 24880 S Tamiami Trl, Bonita Springs, FL 34134-7015 | 2020-09-25 |
| 1477167716 | Courtney Newbery | Counselor | 24840 Burnt Pine Dr Ste 1&2, Bonita Springs, FL 34134-2999 | 2020-09-03 |
| 1063024966 | Yailin Gonzalez Paredes | Behavior Technician | 28130 Pine Haven Way Apt 21, Bonita Springs, FL 34135-6872 | 2020-08-20 |
| 1063022051 | Td Dental Group LLC | Clinic/Center | 28410 Crossing Blvd, Suit 230, Bonita Springs, FL 34135 | 2020-08-04 |
| 1316564933 | Rachel Marie Edwards | Audiologist | 9140 Bonita Beach Rd Se, Bonita Springs, FL 34135-4291 | 2020-06-30 |
| 1346867850 | Anastasia Talalenko | Dentist | 27241 Bay Landing Dr Ste 13, Bonita Springs, FL 34135-4334 | 2020-06-30 |
| 1093331332 | Benjamin Franklin Lyons | Specialist/Technologist | 27099 Matheson Ave Apt 102, Bonita Springs, FL 34135-3901 | 2020-06-23 |
| 1619591096 | Lucinda Zagnoli | Counselor | 3501 Health Center Blvd Suite 2140, Bonita Springs, FL 34135 | 2020-06-02 |
| 1235753716 | Lauren E Dark | Chiropractor | 26731 Dublin Woods Cir Ste 2, Bonita Springs, FL 34135-7271 | 2020-06-01 |
| Find all providers in BONITA SPRINGS | ||||
| 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 |
|---|---|---|---|---|
| 1770121931 | Donald Lee Price | Pharmacist | 13221 Sherburne Cir Apt 601, Bonita Springs, FL 34135-3465 | 2019-12-18 |
| 1225421555 | Patrick P Fung | Pharmacist | 10026 Coconut Rd, Winn-dixie Pharmacy 2525, Bonita Springs, FL 34135-8122 | 2015-03-11 |
| 1093129108 | Chabely Marsh | Pharmacist | 3726 Royalfern Ct, Bonita Springs, FL 34134-8615 | 2014-06-17 |
| 1174959456 | Margarita Sianosyan | Pharmacist | 11494 Bonita Beach Road #96, Bonita Springs, FL 34135 | 2013-09-18 |
| 1861825333 | Michael Anthony Witherow Jr. | Pharmacist | 11494 Bonita Beach Rd Se # 96, Bonita Springs, FL 34135-5906 | 2013-08-19 |
| 1447682497 | Shancy Varghese Kanacheril | Pharmacist | 25121 S. Tamiami Trail, Bonita Springs, FL 34134 | 2013-08-01 |
| 1871830737 | Lori Susan Till-block | Pharmacist | 3306 Bonita Beach Rd, Bonita Springs, FL 34134-4174 | 2013-01-12 |
| 1861762163 | Alyssa Haraczy | Pharmacist | 25121 S. Tamiami Trl, Bonita Springs, FL 34134 | 2012-01-04 |
| 1437436383 | Nesrine Nassri | Pharmacist | 27020 Adriana Cir Apt 201, Bonita Springs, FL 34135-6575 | 2011-11-07 |
| 1689954216 | Rovena Frangu | Pharmacist | 28100 Tamiami Trl, Bonita Springs, FL 34134-3203 | 2011-08-26 |
| Find all providers in BONITA SPRINGS | ||||
| City | BONITA SPRINGS |
| Zip Code | 31434 |
Please comment or provide details below to improve the information on ETHAN SMITH.
| 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.