DR. QUENTIN COOPER FLORENCE (NPI# 1467836502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467836502 |
| Entity Type | Individual |
| Full Name | DR. QUENTIN COOPER FLORENCE |
| Credential | PHARMD |
| Practice Address |
44 Calle Del Media Tijeras NM 87059 |
| Mailing Address |
44 Calle Del Media Tijeras NM 87059-7421 |
| Practice Telephone | 5052698866 |
| Practice Fax Number | 5058565916 |
| Mailing Telephone | 5052698866 |
| Mailing Fax Number | 5058565916 |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2015-07-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RP00004089 | NM | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | PHARMACIST CLINICIAN | PC00000168 | 01 |
| Street Address |
44 CALLE DEL MEDIA |
| City | TIJERAS |
| State | NM |
| Zip Code | 87059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851809552 | Kandi Colliier LLC | Counselor | 3500 Comanche Rd Ne Building E, Suite 21, Albuquerque, NM 87059 | 2018-01-16 |
| 1417407842 | Annette Sobel | Specialist | 7 Engelbrecht Lane, Tijeras, NM 87059 | 2016-10-10 |
| 1679901607 | Jilapuhn Inc | Non-emergency Medical Transport (VAN) | 868 Nm Highway 333, Tijeras, NM 87059 | 2013-10-30 |
| 1972853349 | Carla Rae Kychik | Nurse Practitioner | 163 Brannon, Tijeras, NM 87059 | 2012-09-13 |
| 1720469034 | Mindy Aller | Technician, Other | 5 Snow Pl, Tijeras, NM 87059-0072 | 2015-06-11 |
| 1306954193 | Richard C Branan | Neurological Surgery | 33 Eagle Crest Dr., Tijeras, NM 87059-0910 | 2006-08-29 |
| 1427133206 | Anna Marie Gurule | Acupuncturist | 11792 Hwy 337, Tijeras, NM 87059-1524 | 2006-10-27 |
| 1316079866 | Shelley A Kastler-davis | Speech-Language Pathologist | 100 Forest Road 252, Tijeras, NM 87059-6308 | 2007-03-11 |
| 1992234900 | Cathleen Snyder | Behavior Technician | 311 Forest Road 462, Tijeras, NM 87059-6319 | 2017-06-05 |
| 1881865558 | Terri P Elisberg | Dietitian, Registered | 47 Villacitos Rd, Tijeras, NM 87059-6601 | 2008-03-20 |
| Find all providers in zip 87059 | ||||
| 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 |
|---|---|---|---|---|
| 1003426016 | Natalia Carmen Mendez | Pharmacist | 409 Kathleen Pl, Farmington, NM 87401-3535 | 2020-08-04 |
| 1346897162 | Kali Autrey | Pharmacist | Junction Hwy 371 and Rt 9, Crownpoint, NM 87313 | 2019-08-26 |
| 1831752286 | Eillim De Jesus Rentas | Pharmacist | 6301 Alameda Blvd Ne Unit 1051, Albuquerque, NM 87113-2583 | 2019-04-20 |
| 1124594148 | Danielle Schavz | Pharmacist | 1691 Galisteo St Ste A, Santa Fe, NM 87505-4781 | 2018-10-17 |
| 1720589336 | Colin Wingfield Williams | Pharmacist | 8100 Constitution Pl Ne Ste 300, Albuquerque, NM 87110-7643 | 2018-02-28 |
| 1720501489 | Julia Poynor Lawrence | Pharmacist | 2705 Highland Rd, Roswell, NM 88201-1330 | 2017-07-24 |
| 1780030973 | Welly Agate | Pharmacist | U.S. Hwy. 491 North, Shiprock, NM 87420-0160 | 2016-05-06 |
| 1669855698 | Krystle Tapia | Pharmacist | 601 Menaul Blvd Ne, Unit 203, Albuquerque, NM 87107-1531 | 2015-07-08 |
| 1386044006 | Richard Groh | Pharmacist | 905 Saunders Dr, Roswell, NM 88201-1002 | 2014-08-29 |
| 1518366434 | Irene Gale | Pharmacist | 3 Maize Trl, Placitas, NM 87043-8339 | 2014-08-15 |
| Find all providers with the same taxonomy | ||||
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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.