SUJITH IDICULLA (NPI# 1386927135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386927135 |
| Entity Type | Individual |
| Full Name | SUJITH IDICULLA |
| Practice Address |
705 North Pebble Beach Blvd Walgreens Suncity FL 33573 |
| Mailing Address |
6135 Kestrelridge Dr Lithia FL 33547-4837 |
| Practice Telephone | 8136348393 |
| Practice Fax Number | 8136429066 |
| Mailing Telephone | 8137462631 |
| Mailing Fax Number | 8136429066 |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2011-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS33004 | FL | Pharmacy Service Providers |
| Street Address |
705 NORTH PEBBLE BEACH BLVD WALGREENS |
| City | SUNCITY |
| State | FL |
| Zip Code | 33573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003427584 | Melissa Guigliano | Occupational Therapist | 3800 Fl-674, Sun City Center, FL 33573 | 2020-08-10 |
| 1013552751 | Lisa Brewer | Home Health | 301 Andover Pls 172, Sun City Center, FL 33573 | 2019-11-15 |
| 1023673951 | Apollo Pain Management | Anesthesiology | 720 Cortaro Drive, Sun City Center, FL 33573 | 2019-05-06 |
| 1043671126 | Marie Josee Francoeur | Nurse's Aide | 101 Trinity Lakes Drive, Sun City Center, FL 33573 | 2016-03-16 |
| 1588039804 | Priscilla Lou Raasch-mason | Physical Therapist | 827 Cypress Village Blvd., Suite A, Ruskin, FL 33573 | 2015-12-11 |
| 1740670405 | Richard Charles Vollrath | General Practice | 319 Siena Vista Pl, Sun City Center, FL 33573 | 2015-02-02 |
| 1265858468 | Josue Fils-aime | Custodial Care Facility | 8019 Cherry Branch Dr., Ruskin, FL 33573 | 2014-03-12 |
| 1013258748 | Tampa General Medical Group | Family Medicine | 16521 South U.S. Highway 301, Wimauma, FL 33573 | 2013-03-05 |
| 1366756983 | Seniorbridge Family Companies (fl), Inc. | Home Health | 139 S. Pebble Beach Blvd., Suite 106, Sun City Center, FL 33573 | 2010-08-06 |
| 1801121835 | Andre Anthony Iacurci | Pharmacist | 4444 State Road 674, Sun City Center, FL 33573 | 2009-10-08 |
| Find all providers in zip 33573 | ||||
| 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 |
|---|---|---|---|---|
| 1861093932 | David S Joseph | Pharmacist | 4712 Grainary Ave, Tampa, FL 33624-2106 | 2020-11-05 |
| 1174124176 | Charlie Douglas | Pharmacist | 1024 South State Road 19, Pharmacy, Palatka, FL 32177 | 2020-11-05 |
| 1801497987 | Sasira Malireddy-konala | Pharmacist | 2461 E Gulf-to-lake, Inverness, FL 34453 | 2020-11-04 |
| 1366043465 | Stefan Ferro | Pharmacist | 637 Whisper Cove Ct, Dunedin, FL 34698-8049 | 2020-11-04 |
| 1578164976 | Justin Gary Dugger | Pharmacist | 9218 Sr-228 E, Macclenny, FL 32063 | 2020-11-03 |
| 1740881184 | Edward J Kolbasiuk Jr. | Pharmacist | 13113 Darla Ct, Spring Hill, FL 34609-9320 | 2020-11-03 |
| 1942801287 | Richard Loutzenhiser | Pharmacist | 1215 Old Helena Rd, Winter Haven, FL 33884-2102 | 2020-11-03 |
| 1952902462 | Shahida Rafiq | Pharmacist | 1619 Delprado Blvd, Cape Coral, FL 33990 | 2020-11-03 |
| 1265033807 | Larry Box | Pharmacist | 100 Deerpath Ct, Oldsmar, FL 34677-5305 | 2020-11-02 |
| 1669073128 | Kandra Williams | Pharmacist | 10148 Kings Crossing Dr, Jacksonville, FL 32219-7621 | 2020-11-02 |
| 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.