DR. KATHERINE MERRYETT HELLER (NPI# 1396802393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396802393 |
| Entity Type | Individual |
| Full Name | DR. KATHERINE MERRYETT HELLER |
| Credential | PHARM.D. |
| Practice Address |
2665 N Atlantic Ave Pmb 342 Daytona Beach FL 32118-3205 |
| Practice Telephone | 5617075266 |
| Mailing Telephone | 5617075266 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2012-08-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 16707 | NC | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | PS40961 | FL | Pharmacy Service Providers |
| N | 1835N1003X |
Pharmacist Specialization: Nutrition Support |
PS40961 | FL | Pharmacy Service Providers |
| N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
PS40961 | FL | Pharmacy Service Providers |
| N | 1835G0303X |
Pharmacist Specialization: Geriatric |
PS40961 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376199687 | Katherine Heller | Physical Therapist | 400 Enterprise Dr Ste 4, Scarborough, ME 04074-7663 | 2019-08-13 |
| 1285151688 | Katherine Elizabeth Heller | Speech-Language Pathologist | 4915 Donovan Ave, Saint Louis, MO 63109-2631 | 2017-08-25 |
| 1124470133 | Katherine Heller | Nurse Practitioner | 9720 S 1300 E, Suite W-120, Sandy, UT 84094-3712 | 2016-07-01 |
| 1154795474 | Katherine Heller | Specialist | 6112 S 1550 E Ste 203, South Ogden, UT 84405-5010 | 2015-11-24 |
| 1912298365 | Katherine Oldenburg Heller | Anesthesiology | 1959 Ne Pacific St, Seattle, WA 98195 | 2011-04-20 |
| 1568403095 | Katherine E Heller | Physical Therapist | 620 W Brown St, Waupun, WI 53963-1702 | 2006-06-08 |
| Street Address |
2665 N ATLANTIC AVE PMB 342 |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32118-3205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407476633 | Adel Demetrious | Dentist | 2727 North Atlantic, Ave, Suite 121, Dayton Beach, FL 32118 | 2020-04-17 |
| 1518433804 | Tara James | Nurse Practitioner | 224 Seabreeze Blvd, Daytona Beach, FL 32118 | 2018-10-15 |
| 1760835706 | Barbara Fuller | Early Intervention Provider Agency | 125 Cheshire Rd, Daytona Beach, FL 32118 | 2016-07-14 |
| 1821486457 | Emily Catherine Lounsbury | Nurse Practitioner | 3512 South Atlantic Avenue, Daytona Beach Shores, FL 32118 | 2015-01-06 |
| 1215334370 | Shores Medical Center | Nurse Practitioner | 3512 S Atlantic Blvd, Daytona Beach Shores, FL 32118 | 2014-12-04 |
| 1619305075 | Kimberly Barr Beck-frate | Counselor | 444 Seabreeze Blvd., Integrative Crisis Management, Suite 725, Daytona Beach, FL 32118 | 2013-10-23 |
| 1104190792 | Demetrius Marketing LLC | Dentist | 2570 South Atlantic Ave., Marina Dental Center, Daytona Beach Shores, FL 32118 | 2012-02-29 |
| 1255603189 | A1a Medical | General Practice | 1401 North Atlantic Avenue, Daytona Beach, FL 32118 | 2012-02-08 |
| 1184755654 | David Gaughan | Physical Medicine & Rehabilitation | 3512 S Atlantic Av., Daytona Beach Shores, FL 32118 | 2007-03-08 |
| 1952497612 | Ability Health Services, Inc | Durable Medical Equipment & Medical Supplies | 614 N. Penisula Dr, Daytona Beach, FL 32118 | 2006-10-04 |
| Find all providers in zip 32118 | ||||
| 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 |
|---|---|---|---|---|
| 1992350409 | Erin Selfridge | Pharmacist | 1500 Beville Rd #300, Daytona Beach, FL 32117 | 2019-08-02 |
| 1912331984 | Cynthia Jean Colaizzi-tucker | Pharmacist | 417 Pelican Bay Dr, Daytona Beach, FL 32119-1309 | 2013-08-27 |
| 1659642296 | Moheb Hanna | Pharmacist | 341 Perfect Dr, Daytona Beach, FL 32124-2066 | 2012-01-12 |
| 1265712830 | Bilquis Jahan | Pharmacist | 1541 S Ridgewood Ave, Daytona Beach, FL 32114-6133 | 2011-08-26 |
| 1104143015 | Kevin Clark Raval | Pharmacist | 1300 W International Speedway Blvd, Daytona Beach, FL 32114-1440 | 2010-05-02 |
| 1952589079 | Stephen Richard Jones | Pharmacist | 123 Jubilee Cir, Daytona Beach, FL 32124-2006 | 2008-01-31 |
| 1336281716 | Prescription Shoppes LLC | Pharmacist | 864 Orange Ave, Daytona Beach, FL 32114-4770 | 2007-02-13 |
| 1154318483 | John S Zwirz | Pharmacist | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2005-10-03 |
| 1336746544 | Kyle Adams | Pharmacist | 2630 Lpga Blvd, Daytona Beach, FL 32124-1008 | 2020-10-01 |
| 1427665728 | Erin Nicole Grey | Pharmacist | 303 N Clyde Morris Blvd Ste 1001, Daytona Beach, FL 32114-2709 | 2020-09-30 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32118 |
Please comment or provide details below to improve the information on DR. KATHERINE MERRYETT HELLER.
| 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.