MRS. MAGDA IVELISSE DIAZ-COLON (NPI# 1619303609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619303609 |
| Entity Type | Individual |
| Full Name | MRS. MAGDA IVELISSE DIAZ-COLON |
| Other Name | MRS. MAGDA IVELISSE COLON |
| Credential | R.PH. |
| Practice Address |
9549 Trulock Ct Orlando FL 32817-4718 |
| Practice Telephone | 4073032559 |
| Practice Fax Number | 4073032768 |
| Mailing Telephone | 4073032559 |
| Mailing Fax Number | 4073032568 |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2013-09-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS23072 | FL | Pharmacy Service Providers |
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PU5772 | FL | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BOARD OF PHARMACY PHARMACIST LICENSE NUMBER | PS23072 | 01 |
| FL | BOARD OF PHARMACY CONSULTANT PHARMACIST | PU5772 | 01 |
| FL | NABP | 270969 | 01 |
| Street Address |
9549 TRULOCK CT |
| City | ORLANDO |
| State | FL |
| Zip Code | 32817-4718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720690886 | Ideal Dental of University Pointe | Dentist | 11871 University Blvd, Suite 110, Orlando, FL 32817 | 2020-08-20 |
| 1598373573 | Lifespan Therapy Services Inc | Clinic/Center | 9472 East Colonial Drive, Orlando, FL 32817 | 2020-07-16 |
| 1750937157 | Jacqueline Mary Mullay | Speech-Language Pathologist | 4780 Data Court, Orlando, FL 32817 | 2019-08-13 |
| 1457907784 | Austin Bermudez | Physical Therapist | 4780 Data Court, Orlando, Orlando, FL 32817 | 2019-08-13 |
| 1902306244 | Cinthia Paola Gascon Sierra | Behavioral Analyst | 3101 Lake Eastern Blvd Apt 202, Orlando, FL 32817 | 2018-02-13 |
| 1740703032 | Maeleen Chua | Physical Therapist | 3452 Lake Lynda Drive, Suite 200, Orlando, FL 32817 | 2017-07-19 |
| 1669829693 | Katherine Schwab | Counselor | 2562 Rouse Road, Orlando, FL 32817 | 2016-05-19 |
| 1487009569 | Parth Shah | Specialist | 3452 Lake Lynda Dr Ste 151, Orlando, FL 32817 | 2016-04-26 |
| 1801258223 | Jessica Ruch | Occupational Therapy Assistant | 3452 Lake Lynda Dr. Suite 200, Jackson Therapy Partners, Orlando, FL 32817 | 2016-03-24 |
| 1679938823 | Aventus Health LLC | Clinical Medical Laboratory | 11301 Corporate Blvd Ste 315, Orlando, FL 32817 | 2015-12-15 |
| Find all providers in zip 32817 | ||||
| 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 |
| 1497363717 | Erin Nicole Jacks | Pharmacist | 6524 Tanglewood Bay Dr Apt 1924, Orlando, FL 32821-9377 | 2020-07-22 |
| 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 |
| 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.