MR. LEE TRAMELL VICKERS (NPI# 1447666417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447666417 |
Entity Type | Individual |
Full Name | MR. LEE TRAMELL VICKERS |
Practice Address |
701 1st Street Winter Haven FL 33880 |
Mailing Address |
3880 Hampton Hills Dr Lakeland FL 33810-3839 |
Practice Telephone | 8632947487 |
Mailing Telephone | 4078032333 |
Enumeration Date | 2014-07-10 |
Last Update Date | 2014-07-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | PS051487 | FL | Pharmacy Service Providers |
Street Address |
701 1ST STREET |
City | WINTER HAVEN |
State | FL |
Zip Code | 33880 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851896955 | Cheryl Gonzalez | Physical Therapy Assistant | 1601 6th Street Swe, Winter Haven, FL 33880 | 2018-03-29 |
1265950661 | Integrity Prosthetics and Orthotics | Prosthetic/Orthotic Supplier | 135 1st Street South, Winter Haven, FL 33880 | 2017-09-06 |
1912423427 | Stacy Lewis | Counselor | 1943 Ave E Sw, Winter Haven, FL 33880 | 2017-08-16 |
1497275952 | Kleine Pediatrics | Pediatrics | 375 E Central Avenue, Suite 391, Winter Haven, FL 33880 | 2017-06-26 |
1255851457 | Farah N Habib | Dentist | 375 E Central Ave, Suite 361, Winter Haven, FL 33880 | 2017-06-20 |
1356878086 | Congruent Hearts Companions | Home Health | 111 Ave R N.e., Winter, FL 33880 | 2017-05-12 |
1689033201 | Jason Acosta | General Practice | 111 Avenue A Se, Winter Haven, FL 33880 | 2016-02-11 |
1629440573 | National Vision, Inc. | Technician/Technologist | 341 & 343 Cypress Gardens Blvd, Winter Haven, FL 33880 | 2015-10-30 |
1518336825 | Nicole A. Domenech | General Practice | 950 First St. South, Winter Haven, FL 33880 | 2015-09-16 |
1003248865 | Swift Home Health Care LLC | Home Health | 141 Ave A Se, Winter Haven, FL 33880 | 2013-08-05 |
Find all providers in zip 33880 |
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 |
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 |
1255635736 | Mahe Marrero | Pharmacist | 950 1st St S Ste 103, Winter Haven, FL 33880-3607 | 2010-12-27 |
Find all providers in WINTER HAVEN |
City | WINTER HAVEN |
Zip Code | 33880 |
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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.