MIA FLOWERS (NPI# 1659988327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659988327 |
| Entity Type | Individual |
| Full Name | MIA FLOWERS |
| Credential | PHARMD, RPH |
| Practice Address |
1302 River St Palatka FL 32177-5042 |
| Mailing Address |
11313 Transom Ct Jacksonville FL 32225-4072 |
| Practice Telephone | 3863267315 |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-09-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS61530 | FL | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PHARMACY LICENSE | PS61530 | 01 |
| Street Address |
1302 RIVER ST |
| City | PALATKA |
| State | FL |
| Zip Code | 32177-5042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073511978 | Bobby R Lafferty | Family Medicine | 1302 River St, Palatka, FL 32177-5042 | 2005-07-13 |
| 1427669621 | Rafael Sanchez Jr. | Pharmacist | 1302 River St, Palatka, FL 32177-5042 | 2020-08-11 |
| 1508477977 | Nicholas Marquis Baxter | Pharmacist | 1302 River St, Palatka, FL 32177-5042 | 2020-08-11 |
| 1235787037 | Breonna Appling | Pharmacist | 1302 River St, Palatka, FL 32177-5042 | 2019-08-27 |
| 1073073557 | Kevin Whitfield | Pharmacist | 1302 River St, Palatka, FL 32177-5042 | 2019-03-21 |
| 1790295186 | Shaquita Renee Mickens | Pharmacist | 1302 River St, Palatka, FL 32177-5042 | 2017-10-11 |
| 1780138016 | Morgann D. Robinson | Pharmacist | 1302 River St, Palatka, FL 32177-5042 | 2016-08-03 |
| 1588043350 | Hezekiah George Owojuyigbe | General Practice | 1302 River St, Palatka, FL 32177-5042 | 2015-05-26 |
| 1053703637 | Saira A. Kahn | Pharmacist | 1302 River St, Palatka, FL 32177-5042 | 2015-02-19 |
| 1174932636 | Shonda Shanelle Waller | Pharmacist | 1302 River St, Palatka, FL 32177-5042 | 2014-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124176 | Charlie Douglas | Pharmacist | 1024 South State Road 19, Pharmacy, Palatka, FL 32177 | 2020-11-05 |
| 1275090359 | Carol M Kazounis | Dietitian, Registered | 2801 Kennedy Strett, Palatka, FL 32177 | 2019-02-26 |
| 1447744768 | Pulido Internal Medicine | Nurse Practitioner | 700 Zeagler Drive, Suite 1, Palatka, FL 32177 | 2018-06-20 |
| 1063922656 | Ronald Michael Wendt | Nurse Practitioner | 3703 Crill Ave, Palatka, FL 32177 | 2017-10-09 |
| 1043560212 | Leslie Ann Lewis | Massage Therapist | 325 Poinsetta Ave, Palatka, FL 32177 | 2012-09-14 |
| 1285984963 | Walgreens | Pharmacy | 719 South State Road 19, Palatka, FL 32177 | 2012-09-11 |
| 1841549235 | Audrey M Russell | Pharmacy Technician | 719 Hwy 19 South, Palatka, FL 32177 | 2012-08-31 |
| 1194023838 | Sherry D. Michael | Licensed Practical Nurse | 330 Kay Larkin Dr., Palatka, FL 32177 | 2011-03-04 |
| 1083846364 | Patricia Kowalchuk | Occupational Therapy Assistant | 6050 St.johns Ave., Suite A, Palatka, FL 32177 | 2009-08-20 |
| 1609015320 | Robin Calhoun | Occupational Therapist | 611 Zeagler Dr., Palatka, FL 32177 | 2009-02-19 |
| Find all providers in zip 32177 | ||||
| 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 |
|---|---|---|---|---|
| 1174124176 | Charlie Douglas | Pharmacist | 1024 South State Road 19, Pharmacy, Palatka, FL 32177 | 2020-11-05 |
| 1295157691 | Alexis Hernandez Arango | Pharmacist | 246 Round Lake Rd, Palatka, FL 32177-1716 | 2014-01-20 |
| 1518247063 | Virginia T Saldajeno | Pharmacist | 719 S Highway 19, Palatka, FL 32177-3946 | 2011-08-27 |
| 1235461443 | Juliet M Wadsworth | Pharmacist | 111 Town and Country Dr, Palatka, FL 32177-3962 | 2010-02-12 |
| 1124249883 | Gregory William Harvey | Pharmacist | 610 Zeagler Drive, Palatka, FL 32167 | 2007-05-01 |
| 1013913680 | Extended Care Pharmacy, Inc. | Pharmacist | 6400 Crill Ave, Palatka, FL 32177-3876 | 2005-06-28 |
| 1609476050 | Geoffrey O'donoghue | Pharmacist | 1024 S State Road 19, Palatka, FL 32177-9000 | 2020-10-27 |
| 1427669621 | Rafael Sanchez Jr. | Pharmacist | 1302 River St, Palatka, FL 32177-5042 | 2020-08-11 |
| 1508477977 | Nicholas Marquis Baxter | Pharmacist | 1302 River St, Palatka, FL 32177-5042 | 2020-08-11 |
| 1679116792 | Sodang Daniel Sou | Pharmacist | 901 S Highway 19, Palatka, FL 32177-9397 | 2019-10-21 |
| Find all providers in PALATKA | ||||
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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.