DR. AMY LYNN HIBBARD (NPI# 1205364478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205364478 |
Entity Type | Individual |
Full Name | DR. AMY LYNN HIBBARD |
Credential | PHARMD |
Practice Address |
1425 Malabar Rd Ne Palm Bay FL 32907-2506 |
Mailing Address |
431 Topeka Rd Sw Palm Bay FL 32908-7549 |
Practice Telephone | 3214248433 |
Mailing Telephone | 3216046213 |
Enumeration Date | 2017-05-31 |
Last Update Date | 2017-05-31 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PS56253 | FL | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093130635 | Amy Leigh Hibbard | Nurse Practitioner | 1500 East Medical Center Drive, 2nd Floor Taubman Center Recp F, Ann Arbor, MI 48109-5332 | 2014-02-19 |
Street Address |
1425 MALABAR RD NE |
City | PALM BAY |
State | FL |
Zip Code | 32907-2506 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265439616 | Karen Jeanette Bills | Pharmacist | 1425 Malabar Rd Ne, Palm Bay, FL 32907-2506 | 2005-06-30 |
1215554746 | Dawn Ann Stewart-brown | Nurse Practitioner | 1425 Malabar Rd Ne, Palm Bay, FL 32907-2506 | 2020-06-30 |
1780223230 | Samantha Kraus | Social Worker | 1425 Malabar Rd Ne, Palm Bay, FL 32907-2506 | 2020-01-02 |
1811480643 | Michael William Stainton | Nurse Practitioner | 1425 Malabar Rd Ne, Palm Bay, FL 32907-2506 | 2018-06-06 |
1811404866 | Ingrid A Lovelace-joseph | Nurse Practitioner | 1425 Malabar Rd Ne, Palm Bay, FL 32907-2506 | 2017-12-29 |
1114380821 | Merle Lewis | Internal Medicine | 1425 Malabar Rd Ne, Palm Bay, FL 32907-2506 | 2016-03-30 |
1376955682 | Hussien A Ballout | Internal Medicine | 1425 Malabar Rd Ne, Palm Bay, FL 32907 | 2014-05-21 |
1881027068 | Pinkesh B Prajapati | Hospitalist | 1425 Malabar Rd Ne, Palm Bay, FL 32907 | 2013-08-12 |
1003255019 | Anthony Jay Herzog | Hospitalist | 1425 Malabar Rd Ne, Palm Bay, FL 32907-2506 | 2013-06-24 |
1629316922 | David Lighston | Pharmacist | 1425 Malabar Rd Ne, Palm Bay, FL 32907-2506 | 2013-01-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861015109 | Tyreak Albert Mclarty | Behavior Technician | 2180 Julian Ave Nw, Palm Bay, FL 32907 | 2020-05-21 |
1871073759 | Jessica Elizabeth Ford | Physical Therapist | 470 Malabar Rd Se Unit 102, Palm Bay, FL 32907 | 2018-08-20 |
1598264558 | Corey Williams | Case Management | 1850 Delki St. Nw, Palm Bay, FL 32907 | 2018-02-06 |
1386154904 | Lauren Nicole Meek | Social Worker | 550 Malabar Rd Sw Apt 202, Palm Bay, FL 32907 | 2017-10-10 |
1679002877 | Kandice Monique Hearns | Physical Therapy Assistant | 175 Ne Villa Nueva Ave, Palm Bay, FL 32907 | 2017-06-09 |
1780113076 | Caring Manor LLC | Assisted Living Facility | 1863 Edith St Ne, Palm Bay, FL 32907 | 2017-06-08 |
1467992107 | Enrique Martinez | Counselor | 1510 Studley Dr. Nw, Palm Bay, FL 32907 | 2017-02-28 |
1144776469 | Stephanie Ann Hoenig | Physical Therapy Assistant | 1155 Malabar Rd Se, Palm Bay, FL 32907 | 2016-08-28 |
1124471529 | K & S Tender Care 11 | Assisted Living Facility | 226 Abalone Road Ne, Palm Bay, FL 32907 | 2016-07-20 |
1235507781 | Jai Ho LLC | Specialist | 1663 Georgia Street, Suite 400, Palm Bay, FL 32907 | 2015-09-14 |
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Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912249160 | Charles Edward Carter | Pharmacist | 4711 Babcock St Ne Ste 1, Palm Bay, FL 32905-2805 | 2013-03-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821696345 | Cynthia Barbara Guerrero Gentile | Pharmacist | 11231 Macaw Ct, Windermere, FL 34786-5635 | 2020-10-16 |
1568069276 | Shannon Lea Wright | Pharmacist | 2021 Camden Loop, Davenport, FL 33837-1796 | 2020-10-06 |
1013514603 | Tien Thuy Hoang | Pharmacist | 875 Dr M.l.k. Jr St N, St. Petersburg, FL 33701 | 2020-10-06 |
1497361976 | Ruxandra Ivascu | Pharmacist | 11782 E Dr Martin Luther King Jr Blvd, Seffner, FL 33584-4923 | 2020-09-20 |
1306458450 | Usif Darwish | Pharmacist | 3863 Us 301 S, Riverview, FL 33578-3572 | 2020-08-20 |
1528685203 | Caren Azurin | Pharmacist | 23965 Us 27, Lake Wales, FL 33859-7812 | 2020-06-29 |
1700400314 | Tonisha Simone Robinson Seixas | Pharmacist | 13280 Nw 18th St, Pembroke Pines, FL 33028-2502 | 2020-05-31 |
1942820287 | Sirisha Kandepi | Pharmacist | 8217 Miramar Way, Lakewood Ranch, FL 34202-9003 | 2020-04-16 |
1891323713 | Ralph Ranie Razon | Pharmacist | 3135 Sr 580 Ste 15, Suite 15, Safety Harbor, FL 34695-3528 | 2020-03-27 |
1710518477 | Richard D Moss | Pharmacist | 160 Sw 12 Avenue, Suite 101 D, Deerfield Beach, FL 33442 | 2020-01-31 |
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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.