MR. CHARLIE WALLER COLQUITT (NPI# 1225216260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225216260 |
| Entity Type | Individual |
| Full Name | MR. CHARLIE WALLER COLQUITT |
| Credential | PHARMD |
| Practice Address |
1344 22nd St So St Petersburg FL 33712 |
| Practice Telephone | 7278216701 |
| Mailing Telephone | 7278216701 |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2008-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS0030592 | FL | Pharmacy Service Providers |
| Street Address |
1344 22ND ST SO |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831663616 | Courtney Nicole West | Community Health Worker | 2335 22nd Ave S # 4, Saint Petersburg, FL 33712 | 2019-01-15 |
| 1053820266 | Tameka Flowers | Nurse Practitioner | 1719 Dayton Street South, Saint Petersburg, FL 33712 | 2017-09-20 |
| 1871030445 | Telesa Andrea Reddick | Specialist | 1407 22nd Street South, St Pete, FL 33712 | 2017-01-20 |
| 1104286715 | Touched By Faith Inc | Community/Behavioral Health | 2600 4th St, Saint Petersburg, FL 33712 | 2016-02-25 |
| 1457758476 | Chris Wendling | Pharmacist | 2620 Desoto Way S, St Petersburg, FL 33712 | 2014-11-20 |
| 1700217239 | Crystal Eva | Adult Companion | 2132 68th Ter S, St Petersburg, FL 33712 | 2013-12-10 |
| 1144598152 | Tien Minh Tran | Pharmacist | 3350 Central Avenue, St Petersburg, FL 33712 | 2011-12-05 |
| 1588947410 | Aru Richardson | Counselor | 555 31st Street South, Saint Petersburg, FL 33712 | 2011-09-27 |
| 1588990063 | Garrett A Babbs | Physician Assistant | 1344 22nd St South, St Petersburg, FL 33712 | 2009-10-19 |
| 1942359070 | Acupuncture & Herbal Therapies | Massage Therapist | 2520 Central Ave., St. Petersburg, FL 33712 | 2007-01-09 |
| Find all providers in zip 33712 | ||||
| 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 |
|---|---|---|---|---|
| 1609407857 | Patricia Eleni Pajak | Pharmacist | 2000 75th St N, St Petersburg, FL 33710-4639 | 2020-01-27 |
| 1174153928 | Bisma Khan | Pharmacist | 695 Central Ave Ste 203, St Petersburg, FL 33701-3662 | 2020-01-21 |
| 1336673557 | Christine H Hayes | Pharmacist | 711 29th Ave N, St Petersburg, FL 33704-2016 | 2017-04-13 |
| 1740725548 | Gregory Cerio | Pharmacist | 11001 Roosevelt Blvd N, Suite 1400, St Petersburg, FL 33716-2354 | 2017-01-03 |
| 1851768246 | Lisa Jonay Rowe Delancy | Pharmacist | 1818 Caesar Way S, St Petersburg, FL 33712-4220 | 2015-09-01 |
| 1932593183 | Bhavesh Patel | Pharmacist | 2480 13th Ave N, Apt#110, St Petersburg, FL 33713-5853 | 2015-03-26 |
| 1295127587 | June Kicklighter Peterman | Pharmacist | 2435 Granada Cir E, St Petersburg, FL 33712-3917 | 2015-02-24 |
| 1457758476 | Chris Wendling | Pharmacist | 2620 Desoto Way S, St Petersburg, FL 33712 | 2014-11-20 |
| 1326444670 | Wesley Price | Pharmacist | 1009 7th Ave N # 1, St Petersburg, FL 33705-1307 | 2014-11-14 |
| 1164839510 | Tyler Harris | Pharmacist | 11880 28th St N Ste 100, St Petersburg, FL 33716-1824 | 2014-07-17 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33712 |
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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.