MR. EDNER DORLOUIS JR. (NPI# 1275822025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275822025 |
| Entity Type | Individual |
| Full Name | MR. EDNER DORLOUIS JR. |
| Practice Address |
619 S Marion Ave Lake City FL 32025-5808 |
| Mailing Address |
8204 Sw 61st Pl Gainesville FL 32608-5589 |
| Practice Telephone | 3867553016 |
| Mailing Telephone | 3522815351 |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2011-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | RPT17531 | FL | Pharmacy Service Providers |
| Street Address |
619 S MARION AVE |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32025-5808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275520660 | Kay B Ramnarine | Counselor | 619 S Marion Ave, Lake City, FL 32025-5808 | 2005-09-30 |
| 1104442441 | Danielle Marie Howard | Student in an Organized Health Care Education/Training Program | 619 S Marion Ave, Lake City, FL 32025-5808 | 2020-06-23 |
| 1427672617 | James Wooley | Recreation Therapist | 619 S Marion Ave, Lake City, FL 32025-5808 | 2020-06-03 |
| 1316573611 | Tara S. Keen | Nurse Practitioner | 619 S Marion Ave, Lake City, FL 32025-5808 | 2020-03-18 |
| 1023653086 | Yen Margaret Dao Barnes | Pharmacist | 619 S Marion Ave, Lake City, FL 32025-5808 | 2019-11-14 |
| 1790328847 | Brittni Cleland | Dance Therapist | 619 S Marion Ave, Lake City, FL 32025-5808 | 2019-10-22 |
| 1801447800 | Warrenette Yvette Kelly | Social Worker | 619 S Marion Ave, Lake City, FL 32025-5808 | 2019-09-23 |
| 1982263117 | Katherine Susannah Mary Thomas | Optometrist | 619 S Marion Ave, Lake City, FL 32025-5808 | 2019-06-11 |
| 1952871220 | Michael Canard | Social Worker | 619 S Marion Ave, Lake City, FL 32025-5808 | 2018-11-29 |
| 1174009914 | Ashlyn Elizabeth Kerce | Pharmacist | 619 S Marion Ave, Lake City, FL 32025-5808 | 2018-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801438353 | Jennifer Bennett | Pharmacist | 347 Sw Main Blvd Suite 102, Lake City, FL 32025 | 2019-10-16 |
| 1700352838 | Robert J Sansouci IIi IIi | Physical Therapy Assistant | 560 Sw Mcfarlane Ave, Lake City, Fl, 32025, Lake City, FL 32025 | 2018-10-16 |
| 1316442783 | Emily Bailey | Developmental Therapist | 2126 Sw Sisters Welcome Rd, Lake City, FL 32025 | 2018-03-28 |
| 1811446370 | Michelle Hart | Behavioral Analyst | 260 S. Marion Avenue, Bldg. A, Suite 135, Lake City, FL 32025 | 2016-09-26 |
| 1922467646 | Irene Aponte Moreno | Nurse Practitioner | 440 Sw Perimeter Glen, Lake City, FL 32025 | 2016-02-23 |
| 1093186777 | Decarlos Scippio | Counselor | 619 Sw Baya Drive Suite 102, Lake City, FL 32025 | 2015-10-07 |
| 1497132476 | Jamecia Legree | Registered Nurse | 800 Sw Symphony Loop, Bldg 15 Apt 204, Lake City, FL 32025 | 2015-04-29 |
| 1306249149 | Mercy Home Assisted Living Facility LLC | Assisted Living Facility | 184 S.e. Beech Street, Lake City, FL 32025 | 2014-10-08 |
| 1598174344 | Karen Mcdonald | Developmental Therapist | 4523 Se County Road 252, Lake City, FL 32025 | 2014-08-06 |
| 1275944126 | Mohammad Ali Faisal Mdpa | Specialist | 1283 Sw State Rd 47, Ste 104, Lake City, FL 32025 | 2014-05-14 |
| Find all providers in zip 32025 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922413483 | Curtis Peden Jr. | Pharmacy Technician | 3854 Nw Archer St Apt 102, Lake City, FL 32055-4813 | 2014-06-24 |
| 1770821811 | Michael Douglas Daley | Pharmacy Technician | 1147 Se Graham Ct, Lake City, FL 32025-2841 | 2013-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820234 | Roderick John Yulo Palma | Pharmacy Technician | 10538 Sw 16th St, Pembroke Pines, FL 33025-4784 | 2020-10-28 |
| 1700408374 | Andre Spencer | Pharmacy Technician | 5400 Nw 175th St, Miami Gardens, FL 33055-3541 | 2020-05-17 |
| 1295356509 | Kahkashan Fatimah | Pharmacy Technician | 8801 Hunters Lake Dr Apt 223, Tampa, FL 33647-2850 | 2020-04-28 |
| 1649803057 | Jenisse Quintela Lozano | Pharmacy Technician | 2108 W 53rd St, Hialeah, FL 33016-2031 | 2020-02-14 |
| 1528604717 | Bianca Apollon | Pharmacy Technician | 517 Okaloosa St Unit 1, Tallahassee, FL 32310-5424 | 2019-11-21 |
| 1033750971 | Arielle Lakeita Bryant | Pharmacy Technician | 11048 N Campus Blvd, Jacksonville, FL 32218-6416 | 2019-10-02 |
| 1821639931 | Jeviel Latrish Davis | Pharmacy Technician | 1127 Caliente Dr, Jacksonville, FL 32211-8855 | 2019-10-01 |
| 1750922654 | Jowana T'pring Preston-gray | Pharmacy Technician | 8711 Newton Rd Apt 249, Jacksonville, FL 32216-7514 | 2019-10-01 |
| 1487205654 | Tiera Chisolm | Pharmacy Technician | 1704 Mary Beth Dr, Middleburg, FL 32068-7833 | 2019-09-27 |
| 1306492434 | Ashlynn Da Silva | Pharmacy Technician | 2 N Us Highway 17 92, Debary, FL 32713-2506 | 2019-08-14 |
| Find all providers with the same taxonomy | ||||
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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.