ERIN NICOLE JACKS (NPI# 1497363717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497363717 |
| Entity Type | Individual |
| Full Name | ERIN NICOLE JACKS |
| Credential | PHARMD |
| Practice Address |
6524 Tanglewood Bay Dr Apt 1924 Orlando FL 32821-9377 |
| Practice Telephone | 8632551502 |
| Mailing Telephone | 8632551502 |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS53476 | FL | Pharmacy Service Providers |
| Street Address |
6524 TANGLEWOOD BAY DR APT 1924 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32821-9377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885460 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 11619 Daryl Carter Parkway, Orlando, FL 32821 | 2020-06-16 |
| 1740527811 | Medical Home Alliance LLC | Internal Medicine | 6675 Westwood Blvd Ste 475, Orlando, FL 32821 | 2013-01-10 |
| 1215298385 | Steven C Batchelor | Case Manager/Care Coordinator | 5334 Central Florida Parkway #123, Orlando, FL 32821 | 2012-06-05 |
| 1811267859 | Kon Ying Leung | Pharmacist | 12650 International Drive South, Orlando, FL 32821 | 2012-01-09 |
| 1700085297 | Jill Brightman Bello | Social Worker | 5314 Dorrington Ln, Orlando, FL 32821 | 2007-07-13 |
| 1952320947 | Michell Lyn Arnow Phd Pa | Psychologist | 5007 Gateway Avenue, Suite B, Orlando, FL 32821 | 2006-07-19 |
| 1205824513 | Nusrath Hasan Baig | Psychiatry & Neurology | 6601 Central Florida Parkway, Central Florida Behavioral Hospital, Orlando, FL 32821 | 2005-10-11 |
| 1225188253 | Linda Bisnauth | Psychiatry & Neurology | 6601 Central Florida Parkway, Central Florida Behavioral Hospital, Orlando, FL 32821 | 2007-01-11 |
| 1376047530 | Nathaniel Edward Dash | Occupational Therapy Assistant | 6627 Tanglewood Bay Dr, Apt 1105, Orlando, FL 32821-3282 | 2018-03-22 |
| 1891229712 | Christopher Wilcox | Social Worker | 8807 Villa View Cir, 202, Orlando, FL 32821-4112 | 2017-04-18 |
| Find all providers in zip 32821 | ||||
| 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 |
|---|---|---|---|---|
| 1710585674 | Erika Williams | Pharmacist | 2715 South Orlando Ave, Orlando, FL 32806 | 2020-10-13 |
| 1750989539 | Shuai Li | Pharmacist | 10615 Narcoossee Rd Fl 32832, Orlando, FL 32832-6904 | 2020-10-13 |
| 1083220552 | Dhavalkumar Bhalodia | Pharmacist | 717 W Lancaster Rd, Orlando, FL 32809-5994 | 2020-09-21 |
| 1841801834 | Ky Tu Kathy Trac | Pharmacist | 5672 Pendleton Dr, Orlando, FL 32839-7330 | 2020-08-12 |
| 1023627536 | Diane Ayuninjam | Pharmacist | 10407 Falcon Parc Blvd Apt 206, Orlando, FL 32832-5560 | 2020-07-30 |
| 1134737943 | Paul Tran | Pharmacist | 2544 Saint Heather Way, Orlando, FL 32806-5072 | 2020-07-17 |
| 1225651862 | Kara Camille Ramos | Pharmacist | 2267 Grayling St, Orlando, FL 32820-1459 | 2020-05-18 |
| 1528680345 | Alberto Manuel Rodriguez-colon | Pharmacist | 620 Lochsmere Ln, Orlando, FL 32828-6673 | 2020-05-14 |
| 1114551819 | Emily Keene | Pharmacist | 14185 Lake Nona Blvd, Orlando, FL 32824-7421 | 2020-03-03 |
| 1821628157 | Mark Steven Penner | Pharmacist | 8989 Laureate Blvd, Orlando, FL 32827-7563 | 2020-01-26 |
| Find all providers in ORLANDO | ||||
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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.