MRS. ELIZABETH DIANE WALK (NPI# 1578982104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578982104 |
Entity Type | Individual |
Full Name | MRS. ELIZABETH DIANE WALK |
Credential | RPH |
Practice Address |
250 N Wickham Rd Melbourne FL 32935-8625 |
Practice Telephone | 3217521265 |
Mailing Telephone | 3217521265 |
Enumeration Date | 2014-04-10 |
Last Update Date | 2014-04-10 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PS32407 | FL | Pharmacy Service Providers |
Street Address |
250 N WICKHAM RD |
City | MELBOURNE |
State | FL |
Zip Code | 32935-8625 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306848668 | Robert Bell | Emergency Medicine | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2005-06-01 |
1619507209 | Necmo Pa | Internal Medicine | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2020-01-22 |
1255898102 | Ronald Glen Gordon | Registered Nurse | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2019-02-27 |
1811461007 | Ann Maria Thomas | Nurse Practitioner | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2019-01-22 |
1972073716 | Steward Medical Group, Inc | Radiology | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2018-12-04 |
1437643640 | Caleb Quick | Nurse Practitioner | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2018-06-20 |
1538650940 | Lisa Collins Lancaster | Registered Nurse | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2018-05-21 |
1629565965 | Pietro Loesener | Nurse Practitioner | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2018-04-20 |
1215435870 | Khashaba LLC | Hospitalist | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2018-01-30 |
1790283661 | Dr Joseph D Paolucci Md Pa LLC | Hospitalist | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2018-01-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407412018 | Aleecia Estime | Nurse Practitioner | 401 N Wickham Rd Ste S, Melbourne, FL 32935 | 2019-05-20 |
1669948261 | Lisa Marie Sarkees | Social Worker | 1503 Spring Drive, Melbourne, FL 32935 | 2018-10-22 |
1407355399 | Eugene Slaughter | Case Manager/Care Coordinator | 1600 W Eau Gallie Blvd. Suite 201 F, Melbourne, FL 32935 | 2018-02-06 |
1588173173 | Gregory M Mcdermand | Respiratory Therapist, Certified | 2745 Revolution St, Unit 101, Melbourne, FL 32935 | 2017-09-26 |
1386173649 | M Shami | Nurse Practitioner | 401 N Wickham Rd. Suite S, Melbourne, FL 32935 | 2017-06-08 |
1588102297 | Chiro Choice A Limited Liability Company | Clinic/Center | 1310 W Eau Galle Blvd Ste A, Melbourne, FL 32935 | 2017-02-02 |
1124574835 | A Loving Touch Private Home Care | Home Health | 1595 Palmwood Drive, Melbourne, FL 32935 | 2016-09-01 |
1538616099 | Pedro Triana Villamil | Specialist/Technologist, Other | 1600 Sarno Rd. Suite 15, Melbourne, FL 32935 | 2016-09-01 |
1528424132 | Lisa Forsythe | Acupuncturist | 1250 W. Eau Gallie Blvd., Suite H, Melbourne, FL 32935 | 2016-01-12 |
1528432028 | Harbor City Pharmacy Inc | Pharmacy | 503 Harbor City Blvd., Melbourne, FL 32935 | 2015-11-20 |
Find all providers in zip 32935 |
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 |
---|---|---|---|---|
1831259217 | Salvatore Joseph Giorgianni Jr. | Pharmacist | 1341 Bedford Dr Ste B, Melbourne, FL 32940-1986 | 2006-12-08 |
1376633750 | Colleen Cook Tobia | Pharmacist | 2200 North Highway A1a, Walgreens, Melbourne, FL 32903 | 2006-10-13 |
1073058244 | Varun Vohra | Pharmacist | 1350 Hickory St, Melbourne, FL 32901-3224 | 2016-12-27 |
1053707497 | Health First, Inc | Pharmacist | 1350 Hickory St, Melbourne, FL 32901-3224 | 2015-04-13 |
1134548878 | Conor Gorham | Pharmacist | 250 N Wickham Rd, Pharmacy Dept, Melbourne, FL 32935-8625 | 2014-04-09 |
1548562127 | Kimberly Lynn Hunger | Pharmacist | 1350 S Hickory St, Melbourne, FL 32901-3224 | 2010-12-02 |
1346571684 | Stephen Paul Gilbert | Pharmacist | 1350 S Hickory St, Melbourne, FL 32901-3224 | 2010-01-27 |
1790016996 | Stacey Marie Baggett | Pharmacist | 1350 S Hickory St, Melbourne, FL 32901-3224 | 2010-01-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821696345 | Cynthia Barbara Guerrero Gentile | Pharmacist | 11231 Macaw Ct, Windermere, FL 34786-5635 | 2020-10-16 |
1568069276 | Shannon Lea Wright | Pharmacist | 2021 Camden Loop, Davenport, FL 33837-1796 | 2020-10-06 |
1013514603 | Tien Thuy Hoang | Pharmacist | 875 Dr M.l.k. Jr St N, St. Petersburg, FL 33701 | 2020-10-06 |
1497361976 | Ruxandra Ivascu | Pharmacist | 11782 E Dr Martin Luther King Jr Blvd, Seffner, FL 33584-4923 | 2020-09-20 |
1306458450 | Usif Darwish | Pharmacist | 3863 Us 301 S, Riverview, FL 33578-3572 | 2020-08-20 |
1528685203 | Caren Azurin | Pharmacist | 23965 Us 27, Lake Wales, FL 33859-7812 | 2020-06-29 |
1700400314 | Tonisha Simone Robinson Seixas | Pharmacist | 13280 Nw 18th St, Pembroke Pines, FL 33028-2502 | 2020-05-31 |
1942820287 | Sirisha Kandepi | Pharmacist | 8217 Miramar Way, Lakewood Ranch, FL 34202-9003 | 2020-04-16 |
1891323713 | Ralph Ranie Razon | Pharmacist | 3135 Sr 580 Ste 15, Suite 15, Safety Harbor, FL 34695-3528 | 2020-03-27 |
1710518477 | Richard D Moss | Pharmacist | 160 Sw 12 Avenue, Suite 101 D, Deerfield Beach, FL 33442 | 2020-01-31 |
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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.