MRS. MARIE MAY BEADLE


Address: 21281 Grayton Ter, Port Charlotte, FL 33954-3109
Phone: 9416130919

MRS. MARIE MAY BEADLE (NPI# 1336238468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336238468
Entity Type Individual
Full Name MRS. MARIE MAY BEADLE
Other Name MISS MARIE MAY DERVAN
Credential PHARMD
Practice Address 21281 Grayton Ter
Port Charlotte
FL 33954-3109
Mailing Address 2649 Lear Road
Englewood
FL 34224
Practice Telephone 9416130919
Mailing Telephone 9413233262
Enumeration Date 2006-10-12
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835G0303X Pharmacist
Specialization: Geriatric
PS38788 FL Pharmacy Service Providers

Office Location

Street Address 21281 GRAYTON TER
City PORT CHARLOTTE
State FL
Zip Code 33954-3109

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629060272 Florida Department of Veterans Affairs Alzheimer Center (Dementia Center) 21281 Grayton Ter, Port Charlotte, FL 33954-3109 2005-08-19
1588219760 Travis Darrow Occupational Therapist 21281 Grayton Ter, Port Charlotte, FL 33954-3109 2019-08-05
1841703956 Anthony B Dozier II Physical Therapist 21281 Grayton Ter, Port Charlotte, FL 33954-3109 2017-11-10
1336521673 Callman Internal Medicine Internal Medicine 21281 Grayton Ter, D Jacobson Va Nh, Port Charlotte, FL 33954-3109 2015-06-23
1750788287 Vickie Shuffitt Physical Therapist 21281 Grayton Ter, Douglas T Jacobson Veterans Home, Port Charlotte, FL 33954-3109 2014-11-26
1932366689 Kristen Marie Bowman Physical Therapist 21281 Grayton Ter, Port Charlotte, FL 33954-3109 2008-05-20
1922060904 Linda Barbara Lee-bardowski Registered Nurse 21281 Grayton Ter, Port Charlotte, FL 33954-3109 2006-04-05
1023005741 Mary Virginia Caputi Pharmacist 21281 Grayton Ter, Douglas T. Jacobson State Veterans Nursing Home, Port Charlotte, FL 33954-3109 2005-09-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043740665 Criselda Veronica Romero Home Health Aide 24009 Madaca Lane, Apt 104, Port Charlotte, FL 33954 2017-06-15
1942469234 Johanny Vizcarrondo Colon Physical Therapist 24011 Madaca Lane # 108, Port Charlotte, FL 33954 2008-06-03
1467638163 Qrs LLC Clinic/Center 17218 Toledo Blade Blvd., Unit 7, Port Charlotte, FL 33954 2008-01-14
1023199155 Visionworks Inc Eyewear Supplier (Equipment, not the service) 18500 Veterans Boulevard, Unit 4, Port Charlotte, FL 33954 2006-10-17
1174577290 Karen Kalbfeld Nurse Anesthetist, Certified Registered 327 Kindred Blvd, Port Charlotte, FL 33954 2006-05-22
1518425081 Annette Simmons Custodial Care Facility 1292 Dorchester St, Port Charlotte, FL 33954 2019-03-04
1942319744 Lifeline Health Care of Southwest Florida, Inc. Home Health 630a Woodbury Dr, Port Charlotte, FL 33954-1000 2006-08-29
1154617553 Anthony Richard La Forgia Counselor 630a Woodbury Dr, Port Charlotte, FL 33954-1000 2011-06-23
1780227199 Sergio Pedro Castro Behavioral Analyst 18245 Paulson Dr Ste 113, Port Charlotte, FL 33954-1019 2019-10-18
1295201846 Grissel Alfonso Gonzalez Behavior Technician 18245 Paulson Dr Ste 130, Port Charlotte, FL 33954-1019 2018-10-22
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Taxonomy Information

Taxonomy Code 1835G0303X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Geriatric

Taxonomy Definition

A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly.
Notes: Source: Commission for Certification in Geriatric Pharmacy (www.ccgp.org) [7/1/2006: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1306475769 Gianluca Gullo Pharmacist 6463 S Falkenburg Rd, Riverview, FL 33578-8696 2020-04-07
1336624576 Herbert Nichols Pharmacist 1583 Pratt St, Deland, FL 32720-8445 2018-10-02
1174061048 Kenneth Webster Fuqua Sr. Pharmacist 1122 Old Polk City Rd, Lakeland, FL 33809-6622 2017-02-10
1366989378 Betsy Townsend Pharmacist 1075 Coastal Cir, Ocoee, FL 34761-4319 2017-01-28
1821485046 Gretchen Mary Petrie Pharmacist 1255 Kasamada Dr, Fort Myers, FL 33919-1622 2015-04-26
1982090080 Lissel Cruz Pharmacist 7030 Sw 8th St, Pembroke Pines, FL 33023-1636 2015-04-15
1164869426 Reetesh Kumar Jaiswal Pharmacist 5214 Neil Dr, St Petersburg, FL 33714-2401 2013-05-28
1013266493 Peter L Day Pharmacist 6447 Nw 55th St, Coral Springs, FL 33067-2709 2012-08-31
1710256995 Jonathan Michael Hickman Pharmacist 371 Milestone Dr, Tallahassee, FL 32312-3575 2011-12-18
1205118148 David Milstein Pharmacist 11831 Nw 25th St, Plantation, FL 33323-1701 2011-09-16
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Competitor

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City PORT CHARLOTTE
Zip Code 33954

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Dataset Information

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.

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