MICHAEL ANTHONY FERGUSON (NPI# 1528220308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528220308 |
| Entity Type | Individual |
| Full Name | MICHAEL ANTHONY FERGUSON |
| Credential | PHARM D |
| Practice Address |
1060 Lakes Blvd Lake Park GA 31636 |
| Mailing Address |
1060 Lakes Blvd Lake Park GA 31636-3013 |
| Practice Telephone | 2295597737 |
| Mailing Telephone | 2295597737 |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH023363 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225514714 | Michael Ferguson | Dentist | 8670 Ferry St, Montague, MI 49437-1208 | 2018-07-17 |
| 1609145275 | Michael Ferguson | Pharmacist | 1400 Perimeter Park Dr, Morrisville, NC 27560-9161 | 2011-12-27 |
| 1861645814 | Michael B. Ferguson | Social Worker | 1760 Termino Ave Ste 105, Long Beach, CA 90804-2157 | 2008-11-03 |
| 1952558835 | Michael Robert Ferguson | Dentist | 244 Lephillip Ct, Concord, NC 28025-2954 | 2008-08-22 |
| 1295702801 | Michael Ferguson | Anesthesiology | 4317 W Memorial Rd, Oklahoma City, OK 73134-1720 | 2006-03-02 |
| 1700873932 | Michael J Ferguson | Family Medicine | 801 N Mur Len Rd, Suite 211, Olathe, KS 66062-1794 | 2005-10-03 |
| 1770586851 | Michael Mcvea Ferguson | Psychiatry & Neurology | 5901 Encina Rd, Suite A, Goleta, CA 93117-2269 | 2005-05-23 |
| 1700402914 | Michael P Ferguson | Student in an Organized Health Care Education/Training Program | 6018 Variel Ave, Woodland Hills, CA 91367-3719 | 2020-06-23 |
| 1760046478 | Michael Evan Ferguson | Student in an Organized Health Care Education/Training Program | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2019-04-29 |
| 1497227961 | Michael Manley Ferguson | Physical Therapist | 1713 Montgomery Hwy Ste 131, Hoover, AL 35244-1254 | 2018-12-21 |
| Street Address |
1060 LAKES BLVD |
| City | LAKE PARK |
| State | GA |
| Zip Code | 31636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598786972 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 1060 Lakes Blvd, Lake Park, GA 31636-3013 | 2006-07-21 |
| 1770149882 | Shanna Nicole Rozier | Pharmacist | 1060 Lakes Blvd, Lake Park, GA 31636-3013 | 2019-05-14 |
| 1730645375 | Kenyarda Durden | Pharmacist | 1060 Lakes Blvd, Lake Park, GA 31636-3013 | 2019-02-19 |
| 1780763995 | Murray Geronamo Starling | Pharmacist | 1060 Lakes Blvd, Lake Park, GA 31636-3013 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891045191 | South Georgia Medical Center | General Acute Care Hospital | 2501 North Patterson St, Valdosta, GA 31636 | 2012-09-13 |
| 1407011711 | Migrant Farmworkers Clinic Inc | Clinic/Center | 224 J Frank Culpepper Road, Lake Park, GA 31636 | 2008-07-25 |
| 1649482795 | Institute for Family Systems Support | Social Worker | 308 West Collins Ave, Lake Park, GA 31636 | 2007-05-03 |
| 1639208333 | Kemberly Amanda Stone | Physician Assistant | 453 Lakes Blvd Suite B, Lake Park Family Care Clinic, Lake Park, GA 31636 | 2007-03-06 |
| 1215065768 | Dorothy B Price | Pharmacist | 1060 Lakes Boulevard, Winn Dixie #32, Lake Park, GA 31636 | 2007-02-28 |
| 1922163815 | South Health District | Public Health or Welfare | 751 Country Lane, Lake Park, GA 31636 | 2006-12-22 |
| 1235222415 | Wendy Ann Dorminey | Pharmacist | 1016 Lakes Blvd, Lake Park, GA 31636 | 2006-10-02 |
| 1285715433 | Manuel Tovar | Specialist | 224 Culpepper Rd., Lake Park, GA 31636-0889 | 2006-10-17 |
| 1518375815 | Rich Vodde | Social Worker | 5990 Dykes Pond Rd, Lake Park, GA 31636-2716 | 2014-07-30 |
| 1831671767 | Deborah Ann Woodward | Contractor | 612 Eagle Crest Dr, Lake Park, GA 31636-2751 | 2018-09-06 |
| Find all providers in zip 31636 | ||||
| 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 |
|---|---|---|---|---|
| 1851730113 | Deanne Marie Anderson | Pharmacist | 2040 Second St, Lake Park, MN 56554 | 2013-06-20 |
| 1760714976 | Fred A. Fuchs | Pharmacist | 1220 Northlake Blvd, Lake Park, FL 33403-2050 | 2010-02-12 |
| 1124156781 | Alan F Simcich | Pharmacist | 228 U.S. Hwy One, Lake Park, FL 33403 | 2007-03-02 |
| 1235222415 | Wendy Ann Dorminey | Pharmacist | 1016 Lakes Blvd, Lake Park, GA 31636 | 2006-10-02 |
| 1770149882 | Shanna Nicole Rozier | Pharmacist | 1060 Lakes Blvd, Lake Park, GA 31636-3013 | 2019-05-14 |
| 1730645375 | Kenyarda Durden | Pharmacist | 1060 Lakes Blvd, Lake Park, GA 31636-3013 | 2019-02-19 |
| 1093232373 | Sofonie Luinord | Pharmacist | 101 N Congress Ave, Lake Park, FL 33403-3804 | 2017-08-28 |
| 1710415112 | Nirav Patel | Pharmacist | 228 Us Highway 1, Lake Park, FL 33403-3552 | 2017-05-30 |
| 1417244476 | Rosa Mari Bassett | Pharmacist | 500 N Congress Ave, T-1941, Lake Park, FL 33403-3802 | 2011-06-28 |
| 1396030276 | Nicole Rene Pardue | Pharmacist | 500 N Congress Ave, Lake Park, FL 33403-3802 | 2011-06-18 |
| Find all providers in LAKE PARK | ||||
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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.