SHANDS TEACHING HOSPITAL AND CLINICS, INC. (NPI# 1396804373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396804373 |
| Entity Type | Organization |
| Organization Name | SHANDS TEACHING HOSPITAL AND CLINICS, INC. |
| Practice Address |
4197 Nw 86th Terrace Suite 1131 Gainesville FL 32606-6271 |
| Mailing Address |
Po Box 100345 Gainesville FL 32610-0345 |
| Practice Telephone | 3527330090 |
| Practice Fax Number | 3527330098 |
| Mailing Telephone | 3526279045 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2018-08-03 |
| Authorized Official Name | MR. EDWARD JIMENEZ (CEO) |
| Authorized Official Telephone | 3527331500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH13786 | FL | Suppliers |
| Y | 333600000X | Pharmacy | PH13786 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | NPI NUMBER | 1396804373 | 01 |
| FL | NCPDP NUMBER | 1040308 | 01 |
| FL | BCBS PROVIDER NUMBER | P3733 | 01 |
| FL | PHARMACY DEA NUMBER | BS4749581 | 01 |
| FL | 106077500 | 05 | |
| FL | 340B NUMBER | DSH100113C | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700112000 | Shands Teaching Hospital and Clinics, Inc. | Pharmacy | 1515 Sw Archer Rd., Room 1010, Gainesville, FL 32608 | 2009-10-22 |
| 1134308489 | Shands Teaching Hospital and Clinics, Inc. | Clinic/Center | 2409 Sw Archer Rd, Gainesville, FL 32608-1305 | 2007-11-02 |
| 1467532804 | Shands Teaching Hospital and Clinics, Inc. | Home Health | 1610 Nw 23rd Ave, Gainesville, FL 32605 | 2006-10-17 |
| 1659314938 | Shands Teaching Hospital and Clinics, Inc. | Pharmacy | J Hillis Miller Health Ctr Rm 1147, Gainesville, FL 32610-0316 | 2006-06-14 |
| 1437692688 | Shands Teaching Hospital and Clinics, Inc. | Physiological Laboratory | 10435 Se 170th Pl, Summerfield, FL 34491-8998 | 2016-11-21 |
| 1871635771 | Shands Teaching Hospital and Clinics, Inc. | Clinic/Center | 720 Sw 2nd Ave, Suite 305, Gainesville, FL 32601-1212 | 2007-02-14 |
| 1265514764 | Shands Teaching Hospital and Clinics, Inc. | Pharmacy | 2000 Sw Archer Rd, Rm 2130, Gainesville, FL 32608-1136 | 2006-10-20 |
| 1861589178 | Shands Teaching Hospital and Clinics, Inc. | Rehabilitation Unit | 4101 Nw 89th Blvd, Gainesville, FL 32606-3813 | 2006-10-06 |
| 1821184649 | Shands Teaching Hospital and Clinics, Inc. | Clinic/Center | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-10-05 |
| 1578659306 | Shands Teaching Hospital and Clinics, Inc. | Clinic/Center | 922 E Call St, Starke, FL 32091-3616 | 2006-10-05 |
| Street Address |
4197 NW 86TH TERRACE SUITE 1131 |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32606-6271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982187670 | Ashley Renee Ordway | Counselor | 4197 Nw 86th Terrace, Gainesville, FL 32606 | 2018-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652389 | Michael James Watkins | Massage Therapist | 6418 Nw 39th Ave, Gainesville, FL 32606 | 2020-09-06 |
| 1073134813 | Sun View Counseling LLC | Counselor | 3550 Nw 87 Ter., Gainesville, FL 32606 | 2020-05-04 |
| 1588283568 | Jeena Kar | Student in an Organized Health Care Education/Training Program | Uf Psychiatry Residency Training, 4101 Nw 89th Boulevard, Rm 1796, Gainesville, FL 32606 | 2020-04-10 |
| 1467917864 | Marquetta Lee | Social Worker | 2772 Nw 43rd St, Ste C, Gainesville, FL 32606 | 2019-02-10 |
| 1376025742 | Jacob Sanow | Student in an Organized Health Care Education/Training Program | 5200 Nw 43rd St Unit 401, Gainesville, FL 32606 | 2018-09-03 |
| 1750878393 | Taylor Brown | Occupational Therapist | 3850 Nw 83rd St # 201, Gainesville, FL 32606 | 2018-04-19 |
| 1568914471 | Bernard Mitchll | Behavior Technician | 3515 Nw 60th Terrace, Gainesville, FL 32606 | 2016-10-26 |
| 1760839534 | Nancy Christiana Collins | Counselor | 4907 Nw 43rd St C., Gainesville, FL 32606 | 2016-05-20 |
| 1730553140 | Dawn Johnson O'byrne | Counselor | 4041 Nw 37th Place, Suite A, Gainesville, FL 32606 | 2015-11-23 |
| 1225424815 | Dianne Voitle | Acupuncturist | 2727b N.w. 43rd St. Suite 8, Gainesville, FL 32606 | 2015-04-09 |
| Find all providers in zip 32606 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437658234 | Adeola Adeniji | Pharmacy | 7371 Atlas Walk Way, Gainesville, VA 20155-2992 | 2018-02-07 |
| 1437657491 | Sras LLC | Pharmacy | 14370 Lee Hwy Ste 105, Gainesville, VA 20155-4865 | 2018-01-24 |
| 1114432663 | Pwrx Pharmacy, LLC | Pharmacy | 6754 Calthorpe Pl, Gainesville, VA 20155-4428 | 2017-12-06 |
| 1134526619 | On-site Rx, Inc | Pharmacy | 2435 Old Cornelia Hwy., Gainesville, GA 30507 | 2014-11-26 |
| 1528499191 | Precision Care Pharmacy Services Inc | Pharmacy | 2131 Nw 55th Ter, Gainesville, FL 32605-3374 | 2013-12-09 |
| 1588816912 | Wegmans Food Market, Inc | Pharmacy | 8297 Stonewall Shops Square, Attn: Pharmacy Manager, Gainesville, VA 20155 | 2008-10-16 |
| 1467576470 | Hi-tech Healthcare Inc | Pharmacy | 502 S Enota Dr Ne, Gainesville, GA 30501-2546 | 2007-03-16 |
| 1780724773 | Student Health Pharmacy At The University of Florida | Pharmacy | 280 Fletcher Dr, Gainesville, FL 32611-2038 | 2007-02-07 |
| 1386710481 | Alan R Mcelveeen | Pharmacy | 1210 Thompson Bridge Rd, Gainesville, GA 30501-1779 | 2006-11-28 |
| 1972675759 | Stephen D Adams Pharmacies Inc | Pharmacy | 631 Broad St Se, Gainesville, GA 30501-3729 | 2006-11-15 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32606 |
Please comment or provide details below to improve the information on SHANDS TEACHING HOSPITAL AND CLINICS, INC..
| 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.