DR. NICOLLE DAMBLY (NPI# 1407481450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407481450 |
| Entity Type | Individual |
| Full Name | DR. NICOLLE DAMBLY |
| Credential | PHARMD |
| Practice Address |
3501 Johnson St Hollywood FL 33021-5421 |
| Mailing Address |
101 Gardens Dr Apt 105 Pompano Beach FL 33069-0933 |
| Practice Telephone | 9542654630 |
| Mailing Telephone | 6096852394 |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2020-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PS59634 | FL | Pharmacy Service Providers |
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PHA.0022380 | CO | Pharmacy Service Providers |
| Street Address |
3501 JOHNSON ST |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-5421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021274 | Trevor Swerdlow | Radiology | 3501 Johnson St, Hollywood, FL 33021-5421 | 2005-05-23 |
| 1619575784 | Shaquira Wells | Nurse Practitioner | 3501 Johnson St, Hollywood, FL 33021-5421 | 2020-10-12 |
| 1013521897 | Coeurlande Carry | Nurse Practitioner | 3501 Johnson St, Hollywood, FL 33021-5421 | 2020-08-31 |
| 1386255420 | Bernandes Jean-louis | Nurse Practitioner | 3501 Johnson St, Hollywood, FL 33021-5421 | 2020-08-12 |
| 1770194136 | Rock J Saint Louis | Nurse Practitioner | 3501 Johnson St, Hollywood, FL 33021-5421 | 2020-08-11 |
| 1851916282 | Porsha St Pierre | Nurse Practitioner | 3501 Johnson St, Hollywood, FL 33021-5421 | 2020-06-11 |
| 1770105918 | Robert Woods | Pharmacist | 3501 Johnson St, Inpatient Pharmacy, Hollywood, FL 33021-5421 | 2020-05-11 |
| 1114548013 | Kelsey Taylor | Registered Nurse | 3501 Johnson St, Hollywood, FL 33021-5421 | 2020-05-01 |
| 1588285464 | Aaron Alexander North | Pharmacist | 3501 Johnson St, Hollywood, FL 33021-5421 | 2020-05-01 |
| 1932728714 | Patricia L. Altamirano | Nurse Practitioner | 3501 Johnson St, Hollywood, FL 33021-5421 | 2020-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992081376 | Bolanle Basirat Okegbenr-jimoh | Pharmacist | 3965 Hyde Park Cir, Hollywood, FL 33021-3046 | 2011-10-28 |
| 1285244772 | Franco A Dickson | Pharmacist | 3600 Washington St, Hollywood, FL 33021-8216 | 2020-08-09 |
| 1770105918 | Robert Woods | Pharmacist | 3501 Johnson St, Inpatient Pharmacy, Hollywood, FL 33021-5421 | 2020-05-11 |
| 1306496773 | Richie Onwuchekwa Uba | Pharmacist | 3600 Washington St, Hollywood, FL 33021-8216 | 2019-09-17 |
| 1699260729 | Lisa Kohler | Pharmacist | 3501 Johnson St, Hollywood, FL 33021-5421 | 2018-07-01 |
| 1487046041 | Marlaine Mance | Pharmacist | 3501 Johnson St, Pharmacy Department, Hollywood, FL 33021-5421 | 2015-02-19 |
| 1104256858 | Vu Phung Huynh | Pharmacist | 3501 Johnson St, Hollywood, FL 33021-5421 | 2013-11-16 |
| 1386084093 | Adel Eltantawy | Pharmacist | 3850 Hollywood Blvd, Hollywood, FL 33021-6748 | 2013-06-26 |
| 1053652560 | Angel Maldonado | Pharmacist | 3501 Johnson St, Hollywood, FL 33021-5421 | 2013-03-07 |
| 1417298019 | Chad Allen Edgar | Pharmacist | 3501 Johnson St, Inpatient Pharmacy, Hollywood, FL 33021-5421 | 2013-03-06 |
| Find all providers in HOLLYWOOD | ||||
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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.