MRS. GWENDOLYN WADE (NPI# 1467732685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467732685 |
Entity Type | Individual |
Full Name | MRS. GWENDOLYN WADE |
Credential | B.S. |
Practice Address |
3500 Abington Ave S St Petersburg FL 33711-3547 |
Practice Telephone | 7278663831 |
Mailing Telephone | 7278663831 |
Enumeration Date | 2011-08-18 |
Last Update Date | 2011-08-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 10352 | FL | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053894857 | Gwendolyn L Wade | Nurse Practitioner | 11403 Oconnor Rd Ste 108, San Antonio, TX 78233-5391 | 2018-09-08 |
Street Address |
3500 ABINGTON AVE S |
City | ST PETERSBURG |
State | FL |
Zip Code | 33711-3547 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639665110 | Armando Alvarez Gonzalez | Nurse Practitioner | 3404 26th Ave S, St Petersburg, FL 33711 | 2018-07-08 |
1508398843 | S&r Cares LLC | Preferred Provider Organization | 4201 4th Avenue South Street, St Petersburg, FL 33711 | 2017-03-28 |
1245691062 | Brian Paulson | Counselor | 4024 Central Ave # 1239, Saint Petersburg, FL 33711 | 2016-03-08 |
1871966069 | Kelly Jean Plant | Home Health Aide | 3611 3rd Ave South, St Petersburg, FL 33711 | 2015-11-10 |
1750784815 | Honor Investments LLC | Community/Behavioral Health | 4750 Dophin Cay Ln S, #508, St Petersburg, FL 33711 | 2014-10-03 |
1063771947 | Vincent Ford | Physical Therapy Assistant | 3479 22nd Avenue, St.petersburg, FL 33711 | 2012-05-11 |
1568758571 | Ashley Lauren Taliaferro | Physical Therapist | 5042 42nd St S, Saint Petersburg, FL 33711 | 2011-06-28 |
1801180187 | Karen Lynn Wilcox | Massage Therapist | 2026 44th Street S, Saint Petersburg, FL 33711 | 2011-06-04 |
1881998722 | Martha L Allen | Assisted Living Facility | 1860 46 Street South, St. Petersburg, FL 33711 | 2011-01-07 |
1760519052 | Scg Palazzo Operator, LLC | Assisted Living Facility | 3600 34th St South, St Augustine, FL 33711 | 2007-02-27 |
Find all providers in zip 33711 |
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 |
---|---|---|---|---|
1609407857 | Patricia Eleni Pajak | Pharmacist | 2000 75th St N, St Petersburg, FL 33710-4639 | 2020-01-27 |
1174153928 | Bisma Khan | Pharmacist | 695 Central Ave Ste 203, St Petersburg, FL 33701-3662 | 2020-01-21 |
1336673557 | Christine H Hayes | Pharmacist | 711 29th Ave N, St Petersburg, FL 33704-2016 | 2017-04-13 |
1740725548 | Gregory Cerio | Pharmacist | 11001 Roosevelt Blvd N, Suite 1400, St Petersburg, FL 33716-2354 | 2017-01-03 |
1851768246 | Lisa Jonay Rowe Delancy | Pharmacist | 1818 Caesar Way S, St Petersburg, FL 33712-4220 | 2015-09-01 |
1932593183 | Bhavesh Patel | Pharmacist | 2480 13th Ave N, Apt#110, St Petersburg, FL 33713-5853 | 2015-03-26 |
1295127587 | June Kicklighter Peterman | Pharmacist | 2435 Granada Cir E, St Petersburg, FL 33712-3917 | 2015-02-24 |
1457758476 | Chris Wendling | Pharmacist | 2620 Desoto Way S, St Petersburg, FL 33712 | 2014-11-20 |
1326444670 | Wesley Price | Pharmacist | 1009 7th Ave N # 1, St Petersburg, FL 33705-1307 | 2014-11-14 |
1164839510 | Tyler Harris | Pharmacist | 11880 28th St N Ste 100, St Petersburg, FL 33716-1824 | 2014-07-17 |
Find all providers in ST PETERSBURG |
City | ST PETERSBURG |
Zip Code | 33711 |
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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.