MICHAEL S HENDERSON (NPI# 1205158615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205158615 |
| Entity Type | Individual |
| Full Name | MICHAEL S HENDERSON |
| Credential | R.PH. |
| Practice Address |
4501 66th St N Kenneth City FL 33709-4923 |
| Mailing Address |
3021 Longbrooke Way Clearwater FL 33760-1727 |
| Practice Telephone | 7275465756 |
| Practice Fax Number | 7275443918 |
| Mailing Telephone | 7275465756 |
| Mailing Fax Number | 7275443918 |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2010-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS20311 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972858165 | Michael Henderson | Behavioral Analyst | 251 Tanglewood Dr, Southern Pines, NC 28387-4323 | 2012-07-13 |
| 1366501231 | Michael Daniel Henderson | Technician/Technologist | 10365 S E Hwy 441, Belleview, FL 34420 | 2006-12-07 |
| 1780759340 | Michael Larry Henderson | Counselor | 1650 Mission St Ste 218, San Francisco, CA 94103-2414 | 2006-11-21 |
| 1730262262 | Michael Steven Henderson | Dentist | 39833 Traditions Dr, Northville, MI 48168-9498 | 2006-10-20 |
| 1659465193 | Michael Toledo Henderson | Marriage & Family Therapist | 6518 Lonetree Blvd, Suite 172, Rocklin, CA 95765-5874 | 2006-10-02 |
| 1770698565 | Michael James Henderson | Social Worker | 433 Main, Suite 4b, Kalispell, MT 59901 | 2006-08-20 |
| 1033180914 | Michael Lee Henderson Jr. | Pharmacist | 221 W Heron St, Aberdeen, WA 98520 | 2006-01-30 |
| 1265423594 | Michael G Henderson | Physician Assistant | 165 W Commerce Dr, Belle Plaine, MN 56011-2911 | 2005-11-04 |
| 1144219585 | Michael David Henderson | Internal Medicine | 2360 1st St, Napa, CA 94559-2239 | 2005-10-18 |
| 1407340730 | Michael James Henderson | Nurse Practitioner | 380 Chase Ave, Walla Walla, WA 99362-2924 | 2018-06-20 |
| Street Address |
4501 66TH ST N |
| City | KENNETH CITY |
| State | FL |
| Zip Code | 33709-4923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356786032 | Seth Edward Fricks | Pharmacist | 4501 66th St N, Kenneth City, FL 33709-4923 | 2013-05-08 |
| 1033431457 | Michael Elliott Butler | Pharmacist | 4501 66th St N, Kenneth City, FL 33709-4923 | 2010-02-26 |
| 1295766301 | Kmart Operations LLC | Pharmacy | 4501 66th St N, Kenneth City, FL 33709-4923 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770110637 | Mylien Le | Registered Nurse | 6001 49th Street North, St Petersburg, FL 33709 | 2020-03-23 |
| 1457885063 | Kamlesh Rajani | Pharmacist | 5985-b 49th Street North, Saint Petersburg, FL 33709 | 2017-04-20 |
| 1417382912 | Farhan Hooda | Internal Medicine | The Heart Institute, 6006 49th St. North, Ste. 200, St. Petersburg, FL 33709 | 2013-09-04 |
| 1558702605 | Walgreens | Clinic/Center | 3994 Tyrone Blvd, Saint Petersburg, FL 33709 | 2013-07-17 |
| 1437417607 | Jeri Devale | Social Worker | 6241 43rd Ter N, Kenneth City, FL 33709 | 2012-04-25 |
| 1528340643 | Steven E. Allbritton | Pharmacist | 5405 66th Street N., Saint Petersburg, FL 33709 | 2011-09-14 |
| 1043537335 | Milan Ravindra Patel | Internal Medicine | 3901 66th St N Ste 201, St Petersburg, FL 33709 | 2010-04-26 |
| 1134454713 | Eye Designs Optical and Vision Care, LLC | Optometrist | 3831 Tyrone Boulevard, St. Petersburg, FL 33709 | 2009-10-15 |
| 1487827069 | Jose Manuel Garcia | Dentist | 4911 Park Street North, St Petersburg, FL 33709 | 2008-04-04 |
| 1104097427 | Stanley D Grimmel | Chiropractor | 5670 54th Ave. N, A2, Saint Petersburg, FL 33709 | 2008-03-13 |
| Find all providers in zip 33709 | ||||
| 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 |
|---|---|---|---|---|
| 1558722157 | Gabriel Mcintyre | Pharmacist | 5983 50th Ave N, Kenneth City, FL 33709-3504 | 2016-03-10 |
| 1356786032 | Seth Edward Fricks | Pharmacist | 4501 66th St N, Kenneth City, FL 33709-4923 | 2013-05-08 |
| 1033431457 | Michael Elliott Butler | Pharmacist | 4501 66th St N, Kenneth City, FL 33709-4923 | 2010-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093932 | David S Joseph | Pharmacist | 4712 Grainary Ave, Tampa, FL 33624-2106 | 2020-11-05 |
| 1174124176 | Charlie Douglas | Pharmacist | 1024 South State Road 19, Pharmacy, Palatka, FL 32177 | 2020-11-05 |
| 1801497987 | Sasira Malireddy-konala | Pharmacist | 2461 E Gulf-to-lake, Inverness, FL 34453 | 2020-11-04 |
| 1366043465 | Stefan Ferro | Pharmacist | 637 Whisper Cove Ct, Dunedin, FL 34698-8049 | 2020-11-04 |
| 1578164976 | Justin Gary Dugger | Pharmacist | 9218 Sr-228 E, Macclenny, FL 32063 | 2020-11-03 |
| 1740881184 | Edward J Kolbasiuk Jr. | Pharmacist | 13113 Darla Ct, Spring Hill, FL 34609-9320 | 2020-11-03 |
| 1942801287 | Richard Loutzenhiser | Pharmacist | 1215 Old Helena Rd, Winter Haven, FL 33884-2102 | 2020-11-03 |
| 1952902462 | Shahida Rafiq | Pharmacist | 1619 Delprado Blvd, Cape Coral, FL 33990 | 2020-11-03 |
| 1265033807 | Larry Box | Pharmacist | 100 Deerpath Ct, Oldsmar, FL 34677-5305 | 2020-11-02 |
| 1669073128 | Kandra Williams | Pharmacist | 10148 Kings Crossing Dr, Jacksonville, FL 32219-7621 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
| City | KENNETH CITY |
| Zip Code | 33709 |
Please comment or provide details below to improve the information on MICHAEL S HENDERSON.
| 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.