PUTNAM COMMUNITY MEDICAL CENTER LLC (NPI# 1295154185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295154185 |
| Entity Type | Organization |
| Organization Name | PUTNAM COMMUNITY MEDICAL CENTER LLC |
| Other Organization Name | PUTNAM COMMUNITY MEDICAL CENTER LLC |
| Practice Address |
611 Zeagler Dr Palatka FL 32177-3810 |
| Practice Telephone | 3863268450 |
| Practice Fax Number | 3863268484 |
| Mailing Telephone | 3863268450 |
| Mailing Fax Number | 3863268484 |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2014-04-08 |
| Authorized Official Name | GAIL KING (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 3863268451 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
PH17363 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2145072 | 01 |
| Other Name | Type Code |
|---|---|
| Putnam Community Medical Center LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558417295 | Putnam Community Medical Center LLC | Skilled Nursing Facility | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2007-01-26 |
| 1801942545 | Putnam Community Medical Center LLC | Emergency Medicine | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2007-01-26 |
| 1760599286 | Putnam Community Medical Center LLC | General Acute Care Hospital | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2006-08-23 |
| Street Address |
611 ZEAGLER DR |
| City | PALATKA |
| State | FL |
| Zip Code | 32177-3810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447244058 | Jennifer Lee Hart | Nurse Anesthetist, Certified Registered | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2005-09-09 |
| 1487120812 | Michele Cole | Registered Nurse | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2018-10-24 |
| 1619485760 | Brandon Dewayne Morgan | Student in an Organized Health Care Education/Training Program | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2018-01-10 |
| 1174038970 | Andrew Brian Kirkland | Physician Assistant | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2017-12-04 |
| 1295274546 | Jennifer Dye Standridge | Skilled Nursing Facility | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2017-02-20 |
| 1003352782 | Lindsey Fletcher | Nurse Practitioner | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2017-01-18 |
| 1437694056 | Brandi Rae Curtis | Nurse Practitioner | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2017-01-05 |
| 1609228196 | Vincent Demond Wright | Nurse Anesthetist, Certified Registered | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2016-07-07 |
| 1710331665 | Tamara Baxter | Nurse Practitioner | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2016-04-18 |
| 1740676220 | Putnam Community Medical Center of North Florida, LLC | Medicare Defined Swing Bed Unit | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2015-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124176 | Charlie Douglas | Pharmacist | 1024 South State Road 19, Pharmacy, Palatka, FL 32177 | 2020-11-05 |
| 1275090359 | Carol M Kazounis | Dietitian, Registered | 2801 Kennedy Strett, Palatka, FL 32177 | 2019-02-26 |
| 1447744768 | Pulido Internal Medicine | Nurse Practitioner | 700 Zeagler Drive, Suite 1, Palatka, FL 32177 | 2018-06-20 |
| 1063922656 | Ronald Michael Wendt | Nurse Practitioner | 3703 Crill Ave, Palatka, FL 32177 | 2017-10-09 |
| 1043560212 | Leslie Ann Lewis | Massage Therapist | 325 Poinsetta Ave, Palatka, FL 32177 | 2012-09-14 |
| 1285984963 | Walgreens | Pharmacy | 719 South State Road 19, Palatka, FL 32177 | 2012-09-11 |
| 1841549235 | Audrey M Russell | Pharmacy Technician | 719 Hwy 19 South, Palatka, FL 32177 | 2012-08-31 |
| 1194023838 | Sherry D. Michael | Licensed Practical Nurse | 330 Kay Larkin Dr., Palatka, FL 32177 | 2011-03-04 |
| 1083846364 | Patricia Kowalchuk | Occupational Therapy Assistant | 6050 St.johns Ave., Suite A, Palatka, FL 32177 | 2009-08-20 |
| 1609015320 | Robin Calhoun | Occupational Therapist | 611 Zeagler Dr., Palatka, FL 32177 | 2009-02-19 |
| Find all providers in zip 32177 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326462946 | Generic Specialties Inc | Pharmacy | 1701 Acme St, Orlando, FL 32805-3603 | 2014-02-18 |
| 1336464072 | Harbour Island Specialty Pharmacy | Pharmacy | 12615 Race Track Rd, Tampa, FL 33626-1331 | 2010-04-06 |
| 1952510810 | St of Fl Desoto Juvenile Correctional Facility Pharmacy | Pharmacy | 5871 Se Highway 31, Arcadia, FL 34266-7679 | 2007-05-21 |
| 1275656852 | Seniorcare Community Pharmacy | Pharmacy | 8410 Marble St, Tampa, FL 33615-1493 | 2007-04-09 |
| 1295811032 | A.g. Holley State Hospital | Pharmacy | 1199 Lantana Rd, Lantana, FL 33462-1514 | 2006-10-27 |
| 1255870127 | Benak Incorporated | Pharmacy | 3209 N 22nd St, Tampa, FL 33605-1937 | 2017-02-13 |
| 1023488202 | Lehigh Regional Medical Center | Pharmacy | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2015-10-01 |
| 1285946350 | Sp Behavioral LLC | Pharmacy | 11301 Se Tequesta Ter, Tequesta, FL 33469-8146 | 2010-07-06 |
| 1306005186 | Accardi Clinical Services Inc | Pharmacy | 2583 S Volusia Ave, Ste 100, Orange City, FL 32763-9129 | 2008-06-05 |
| 1952434631 | Public Health Trust of Dade County Florida | Pharmacy | 160 Nw 170th St, Pharmacy Department, North Miami Beach, FL 33169-5521 | 2007-03-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PUTNAM COMMUNITY MEDICAL CENTER LLC.
| 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.