ERIC IVAN ANDERSON (NPI# 1316354301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316354301 |
| Entity Type | Individual |
| Full Name | ERIC IVAN ANDERSON |
| Credential | PHARM.D |
| Practice Address |
4715 Hodges Blvd Jacksonville FL 32224-2216 |
| Mailing Address |
4358 Timuquana Rd Unit 174 Jacksonville FL 32210-8561 |
| Practice Telephone | 9049924643 |
| Mailing Telephone | 9048858288 |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS52066 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972063675 | Eric Joseph Anderson | Peer Specialist | 3310 W Idaho Ave, Chickasha, OK 73018-6005 | 2019-03-20 |
| 1932668589 | Eric Matthew Anderson | Counselor | 1229 Winsted Rd Unit 95, Torrington, CT 06790-2951 | 2019-03-13 |
| 1881114015 | Eric Michael Anderson | Dentist | 2925 Premiere Pkwy Ste 165, Duluth, GA 30097-5258 | 2017-06-20 |
| 1801220454 | Eric Arthur Anderson | Physician Assistant | 47 Doc Perkes Rd, Afton, WY 83110-7703 | 2013-08-29 |
| 1821375841 | Eric John Anderson | Respiratory Therapist, Certified | 2059 Jaybrook Dr, Rancho Palos Verdes, CA 90275-2033 | 2011-11-04 |
| 1497042725 | Eric Paul Anderson | Dentist | 20971 E Smoky Hill Rd Ste 202, Centennial, CO 80015-5187 | 2011-07-07 |
| 1962729327 | Eric Patrick Anderson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 910 E 26th St Ste 100-200, Minneapolis, MN 55404 | 2010-04-26 |
| 1588808034 | Eric Robert Anderson | Psychiatry & Neurology | 2152 Spring Creek Rd, Decatur, GA 30033-2608 | 2009-04-28 |
| 1811159973 | Eric T Anderson | Anesthesiology | 500 W Main St Ste 230, Lewisville, TX 75057-3629 | 2008-06-30 |
| 1548304884 | Eric Scott Anderson | Dentist | 292 E 3900 S, Ste 7, Murray, UT 84107-1557 | 2007-02-19 |
| Street Address |
4715 HODGES BLVD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32224-2216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447265608 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4715 Hodges Blvd, Jacksonville, FL 32224-2216 | 2006-07-29 |
| 1679186183 | George Youssef | Pharmacist | 4715 Hodges Blvd, Jacksonville, FL 32224-2216 | 2020-08-25 |
| 1427427764 | Skylar Ngoc Hoan Nguyen | Pharmacist | 4715 Hodges Blvd, Jacksonville, FL 32224-2216 | 2015-09-16 |
| 1780073676 | Khalil Abufara | Pharmacist | 4715 Hodges Blvd, Jacksonville, FL 32224-2216 | 2015-01-15 |
| 1083995161 | Dana Callandra Royston | Pharmacist | 4715 Hodges Blvd, Jacksonville, FL 32224-2216 | 2011-09-02 |
| 1669753026 | Wendy Hickman | Pharmacist | 4715 Hodges Blvd, Jacksonville, FL 32224-2216 | 2011-08-30 |
| 1750661385 | Caroline R Salib | Pharmacist | 4715 Hodges Blvd, Jacksonville, FL 32224-2216 | 2011-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356974372 | Noelle Parker | Specialist/Technologist | 1 Unf Drivve, Jacksonville, FL 32224 | 2020-02-18 |
| 1124685102 | Charcy Rene Stiller | Specialist/Technologist | 1 Unf Dr., Jacksonville, FL 32224 | 2019-05-24 |
| 1265097513 | Mayo Clinic Jacksonville | Ambulance | 13970 Zumbro Dr, Jacksonville, FL 32224 | 2019-05-02 |
| 1639681471 | Brigantti Anesthesia & Spine Care | Clinic/Center | 1361 13th Ave South Suite #210, Jacksonville, FL 32224 | 2017-11-02 |
| 1093240061 | Beric Emilio Berlioz | Anesthesiology | 4500 San Pablo Rd S # J, Jacksonville, FL 32224 | 2017-04-26 |
| 1609240746 | Matthew James Dailey | Nurse Anesthetist, Certified Registered | 2500 San Pablo Rd S, Jacksonville, FL 32224 | 2015-11-29 |
| 1003299603 | Upscale Personal Care Home | Assisted Living Facility | 4375 Autumn River Road, Jacksonville, FL 32224 | 2015-07-01 |
| 1629459375 | Bellanid Fonseca | Social Worker | 3694 Summerlin Ln E, Jacksonville, FL 32224 | 2015-06-17 |
| 1164840500 | Nicholas Scotto | Physical Therapist | 11555 Central Pkwy Ste 1104, Jacksonville, FL 32224 | 2014-04-02 |
| 1497093454 | Quicker Care Urgent Care | Point of Service | 13770 Beach Blvd., Unit # 4, Jacksonville, FL 32224 | 2013-01-27 |
| Find all providers in zip 32224 | ||||
| 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 |
|---|---|---|---|---|
| 1669073128 | Kandra Williams | Pharmacist | 10148 Kings Crossing Dr, Jacksonville, FL 32219-7621 | 2020-11-02 |
| 1568062131 | Matthew David Strawbridge | Pharmacist | 1335 Edgewood Ave S, Jacksonville, FL 32205-7739 | 2020-10-31 |
| 1639779036 | Jie Song | Pharmacist | 10991 San Jose Blvd, Jacksonville, FL 32223-6675 | 2020-10-27 |
| 1417564899 | Mit Manojkumar Suthar | Pharmacist | 1773 Chandelier Cir E, Jacksonville, FL 32225-5553 | 2020-09-29 |
| 1932715398 | Sena Aydogan | Pharmacist | 753 Candlebark Dr, Jacksonville, FL 32225-5321 | 2020-09-21 |
| 1780295949 | Daniel James Carr | Pharmacist | 1301 Palm Ave Ste 201, Jacksonville, FL 32207-8432 | 2020-08-12 |
| 1760093926 | Kaetlyn Parker | Pharmacist | 1301 Palm Ave Ste 210, Jacksonville, FL 32207-8432 | 2020-08-12 |
| 1316557507 | Lauren Meagan Condon | Pharmacist | 155 Bartram Market Dr, Jacksonville, FL 32259-4581 | 2020-08-03 |
| 1134746357 | Kathryn Leigh Kettler | Pharmacist | 4836 Brierwood Rd, Jacksonville, FL 32257-8027 | 2020-07-03 |
| 1902422306 | Morene Yvonne Kelly | Pharmacist | 4255 La Losa Dr, Jacksonville, FL 32217-4640 | 2020-06-22 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32224 |
Please comment or provide details below to improve the information on ERIC IVAN ANDERSON.
| 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.