ELOISA JORDAN CASTILLO (NPI# 1639311459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639311459 |
| Entity Type | Individual |
| Full Name | ELOISA JORDAN CASTILLO |
| Credential | PHARMACY TECHNICIAN |
| Practice Address |
1363 Massey Avenue Mayport FL 32228 |
| Mailing Address |
1612 Beverly Bay Ct Jacksonville FL 32225-3536 |
| Practice Telephone | 9042704205 |
| Mailing Telephone | 9046457532 |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2009-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183700000X | Pharmacy Technician | Pharmacy Service Providers | ||
| Y | 183700000X | Pharmacy Technician | $$$$$$$$$ | FL | Pharmacy Service Providers |
| Street Address |
1363 MASSEY AVENUE |
| City | MAYPORT |
| State | FL |
| Zip Code | 32228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023546108 | Gregory Donald Willden | Military Health Care Provider | Bon Homme Richard St, Bldg 2480, Jacksonville, FL 32228 | 2017-06-01 |
| 1235681545 | Huriel A Rivera Aponte | Military Health Care Provider | Naval Station Mayport, Surflant Medical Readiness Division Detachment Mayport, Jacksonville, FL 32228 | 2016-11-03 |
| 1871950667 | Julie Nicole Boisen | General Practice | Bldg 1320, Waterfront Medical, Mayport, FL 32228 | 2016-01-25 |
| 1134594245 | Luis Figueroa | Military Health Care Provider | Lcsron Two, 2480 Bonhomme Richard St, Jacksonville, FL 32228 | 2015-12-01 |
| 1790154813 | Franklin Paul Mccullough | Military Health Care Provider | Bon Homme St Bldg 2480, Jacksonville, FL 32228 | 2015-09-18 |
| 1932512498 | Mayport Refill Pharmacy | Military/U.S. Coast Guard Pharmacy | Naval Health Clinic Mayport, 2104 Massey Ave, Mayport, FL 32228 | 2014-06-03 |
| 1366863102 | Clayton Pascik | Military Health Care Provider | Bldg 1488 Massey Ave., Jacksonville, FL 32228 | 2013-12-20 |
| 1104267533 | Joshua Israel Keil | Optometrist | Building 2104 Massey Avenue, Nas Mayport, FL 32228 | 2013-07-15 |
| 1588907042 | Devon Schefano | Military Health Care Provider | 1204 Massey Ave, Mayport, FL 32228 | 2013-04-03 |
| 1851686554 | Philip M Yam | Psychiatry & Neurology | Cnss-14, Mrd Bld 1320, Mayport Naval Station, Jacksonville, FL 32228 | 2011-06-10 |
| Find all providers in zip 32228 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235370404 | Wendy Ann Wasson | Pharmacy Technician | 2104 Massey Ave, Naval Station Mayport, Mayport, FL 32227 | 2009-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820234 | Roderick John Yulo Palma | Pharmacy Technician | 10538 Sw 16th St, Pembroke Pines, FL 33025-4784 | 2020-10-28 |
| 1700408374 | Andre Spencer | Pharmacy Technician | 5400 Nw 175th St, Miami Gardens, FL 33055-3541 | 2020-05-17 |
| 1295356509 | Kahkashan Fatimah | Pharmacy Technician | 8801 Hunters Lake Dr Apt 223, Tampa, FL 33647-2850 | 2020-04-28 |
| 1649803057 | Jenisse Quintela Lozano | Pharmacy Technician | 2108 W 53rd St, Hialeah, FL 33016-2031 | 2020-02-14 |
| 1528604717 | Bianca Apollon | Pharmacy Technician | 517 Okaloosa St Unit 1, Tallahassee, FL 32310-5424 | 2019-11-21 |
| 1033750971 | Arielle Lakeita Bryant | Pharmacy Technician | 11048 N Campus Blvd, Jacksonville, FL 32218-6416 | 2019-10-02 |
| 1821639931 | Jeviel Latrish Davis | Pharmacy Technician | 1127 Caliente Dr, Jacksonville, FL 32211-8855 | 2019-10-01 |
| 1750922654 | Jowana T'pring Preston-gray | Pharmacy Technician | 8711 Newton Rd Apt 249, Jacksonville, FL 32216-7514 | 2019-10-01 |
| 1487205654 | Tiera Chisolm | Pharmacy Technician | 1704 Mary Beth Dr, Middleburg, FL 32068-7833 | 2019-09-27 |
| 1306492434 | Ashlynn Da Silva | Pharmacy Technician | 2 N Us Highway 17 92, Debary, FL 32713-2506 | 2019-08-14 |
| 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.