DR. CLARENCE MCMILLAN JR. (NPI# 1659493138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659493138 |
| Entity Type | Individual |
| Full Name | DR. CLARENCE MCMILLAN JR. |
| Credential | PHARMD |
| Practice Address |
12 N Federal Hwy # A Pompano Beach FL 33062-4305 |
| Practice Telephone | 9542837075 |
| Practice Fax Number | 8885102297 |
| Mailing Telephone | 9542837075 |
| Mailing Fax Number | 8885102297 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-01-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
PS35209 | FL | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PHARMACY LICENSE | PS35209 | 01 |
| Street Address |
12 N FEDERAL HWY # A |
| City | POMPANO BEACH |
| State | FL |
| Zip Code | 33062-4305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649771171 | Your Health Rx, LLC | Pharmacy | 12 N Federal Hwy # A, Pompano Beach, FL 33062-4305 | 2018-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265961 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 555 Channelside Dr, Tampa, FL 33062 | 2020-11-03 |
| 1396351821 | Brittney Eluett | Social Worker | 2637 E. Atlantic Blvd., Suite 38267, Pompano Beach, FL 33062 | 2020-09-21 |
| 1124537634 | Aaron Gabriel Grossman | General Practice | 2637 E Atlantic Blvd # 38598, Pompano Beach, FL 33062 | 2017-09-27 |
| 1790215309 | Daylis Perez-borroto Rodriguez | Dentist | 950 N Federal Hwy Suite 202, Pompano Beach, FL 33062 | 2017-06-15 |
| 1235686783 | Ican Benefit Group | Supports Brokerage | 2251 North Federal Highway, Pompano Beach, FL 33062 | 2016-09-01 |
| 1336503689 | Adriana Diaz Backer | Dentist | 2707 E. Atlantic Blvd, Pompano Beach, FL 33062 | 2016-04-12 |
| 1255723367 | Pierre G Lazore | Acupuncturist | 2637 E Atlantic Blvd # 119, Pompano Beach, FL 33062 | 2015-02-26 |
| 1467870386 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 2471 North Federal Highway, Pompano Beach, FL 33062 | 2014-03-29 |
| 1598192460 | Banyan Treatment and Recovery, LLC | Clinic/Center | 950 N. Federal Hwy, Suite 115, Pompano Beach, FL 33062 | 2013-10-08 |
| 1578905840 | Edwin C Delz | Dentist | 2323 Ne 26 Ave, Pompano Beach, FL 33062 | 2013-07-26 |
| Find all providers in zip 33062 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982242038 | Tammy Kay Domanico | Pharmacist | 1500 N Ocean Blvd Apt 801, Pompano Beach, FL 33062-3438 | 2019-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542972 | Julia Brown | Pharmacist | 3729 S Suncoast Blvd, Homosassa, FL 34448 | 2020-09-10 |
| 1871107771 | Monnette Coppola | Pharmacist | 2907 W Winthrop Rd, Tampa, FL 33611-4040 | 2020-09-08 |
| 1669082194 | Cindy Marie Padilla | Pharmacist | 600 S Dixie Hwy Apt 537, West Palm Beach, FL 33401-5852 | 2020-08-10 |
| 1861017592 | Managed Care Med Solutions, Inc | Pharmacist | 1436 Mendavia Ave, Coral Gables, FL 33146-1608 | 2020-06-09 |
| 1124647995 | Christian Calderon | Pharmacist | 4337 Nw 29th Way, Gainesville, FL 32605-1521 | 2020-04-13 |
| 1174156996 | Gwyneth Gordon | Pharmacist | 9650 Millpond Rd, Miramar, FL 33025-3826 | 2020-02-20 |
| 1285272237 | Thuy Thu Nguyen | Pharmacist | 11334 Nw 79th Mnr, Parkland, FL 33076-4811 | 2019-12-19 |
| 1255975660 | David Scott Ziska | Pharmacist | 9234 Brindlewood Drive, Odessa, FL 33556-3154 | 2019-10-30 |
| 1841847993 | Duane David Ashe | Pharmacist | 8848 Hampden Dr, Tampa, FL 33626-2935 | 2019-08-23 |
| 1710542865 | Christy Rose Maggiore | Pharmacist | 1516 Salamander Trl, Panama City, FL 32413-8411 | 2019-05-03 |
| Find all providers with the same taxonomy | ||||
| City | POMPANO BEACH |
| Zip Code | 33062 |
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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.