DR. KEVIN PRUITT V (NPI# 1336554005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336554005 |
| Entity Type | Individual |
| Full Name | DR. KEVIN PRUITT V |
| Credential | PH.D |
| Practice Address |
105 Avenue R Nw Winter Haven FL 33881-2147 |
| Practice Telephone | 8632295978 |
| Mailing Telephone | 8632295978 |
| Enumeration Date | 2014-06-21 |
| Last Update Date | 2014-06-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS37272 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356873467 | Kevin Pruitt | Registered Nurse | 5016 Copper Creek Rd, Bellevue, NE 68157-2906 | 2017-03-28 |
| 1699160077 | Kevin Pruitt | Counselor | 70 S River St, Aurora, IL 60506-5185 | 2015-04-01 |
| Street Address |
105 AVENUE R NW |
| City | WINTER HAVEN |
| State | FL |
| Zip Code | 33881-2147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720415599 | Villa Pharmacy LLC | Pharmacy | 105 Avenue R Nw, Winter Haven, FL 33881 | 2013-10-10 |
| 1215396346 | Villa Pharmacy LLC | Pharmacy | 105 Avenue R Nw, Winter Haven, FL 33881-2147 | 2016-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114534476 | Ctc's Heart of Caring, Inc | In Home Supportive Care | 2995 Eagle Nest View Drive, Winter Haven, FL 33881 | 2020-09-29 |
| 1356813869 | Michael Thomas Wiernicki | Dentist | 1074 Spring Lake Plaza, Winter Haven, FL 33881 | 2018-12-21 |
| 1659862423 | Patricia Pelt | Social Worker | 3073 Buckeye Point Dr, Winter Haven, FL 33881 | 2018-05-28 |
| 1952891244 | Ansley Health LLC | Home Health | 1502 6th Ct Ne, Winter Haven, FL 33881 | 2018-05-14 |
| 1346699261 | Yovanka Zapata | Specialist/Technologist, Other | 5856 Windrigde Dr., Winter Haven, FL 33881 | 2016-06-10 |
| 1992149397 | Nic 5 Spring Haven Leasing LLC | Assisted Living Facility | 1225 Nw Havendale Boulevard, Winter Haven, FL 33881 | 2013-04-29 |
| 1780938225 | Penelope Sturdevant | Nurse Practitioner | 2791 Lake Alfred Rd., Winter Haven, FL 33881 | 2012-11-06 |
| 1649548165 | Tim R Acree | Non-emergency Medical Transport (VAN) | 2 Eagles Nest, Winter Haven, FL 33881 | 2011-12-12 |
| 1285899419 | Adjustment and Awareness Counseling | Community/Behavioral Health | 243 3rd St Nw, Winter Haven, FL 33881 | 2008-07-28 |
| 1245491091 | Mid-florida Ob Gyn Hospitalist Physician Services L L C | Obstetrics & Gynecology | 101 Avenue O Ne, Winter Haven, FL 33881 | 2008-06-24 |
| Find all providers in zip 33881 | ||||
| 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 |
|---|---|---|---|---|
| 1942801287 | Richard Loutzenhiser | Pharmacist | 1215 Old Helena Rd, Winter Haven, FL 33884-2102 | 2020-11-03 |
| 1548867468 | Aimee Brunson | Pharmacist | 4900 Cypress Gardens Rd Apt 4, Winter Haven, FL 33884-2969 | 2020-10-04 |
| 1487291084 | Nidia Montero Miller | Pharmacist | 355 Cypress Gardens Blvd, Winter Haven, FL 33880-4452 | 2019-12-03 |
| 1801447362 | Javier Jose Martiney | Pharmacist | 4203 Thomas Wood Ln, Winter Haven, FL 33880-1157 | 2019-09-26 |
| 1417502808 | Malvika Patel | Pharmacist | 280 Ruby Lake Ln, Winter Haven, FL 33884-3266 | 2019-08-03 |
| 1023569985 | Shadi Atallah | Pharmacist | 465 Terranova St, Winter Haven, FL 33884-3431 | 2016-10-17 |
| 1447666417 | Lee Tramell Vickers | Pharmacist | 701 1st Street, Winter Haven, FL 33880 | 2014-07-10 |
| 1972841245 | Dana P Elmore | Pharmacist | 6031 Cypress Gardens Blvd, Winter Haven, FL 33884-4115 | 2013-01-22 |
| 1023399110 | Sharon Melvarita Miller | Pharmacist | 5540 Bess Ln, Winter Haven, FL 33884-4165 | 2011-09-01 |
| 1518247287 | Julie Moon Quinn | Pharmacist | 114 Waldemar Ct Se, Winter Haven, FL 33884-3804 | 2011-08-25 |
| Find all providers in WINTER HAVEN | ||||
| City | WINTER HAVEN |
| Zip Code | 33881 |
Please comment or provide details below to improve the information on DR. KEVIN PRUITT V.
| 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.