ERICH WYAN PONTOW (NPI# 1679839377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679839377 |
| Entity Type | Individual |
| Full Name | ERICH WYAN PONTOW |
| Practice Address |
12279 Lake Underhill Rd Orlando FL 32825-5010 |
| Practice Telephone | 4072730817 |
| Mailing Telephone | 4072730817 |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2012-04-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | RPT5681 | FL | Pharmacy Service Providers |
| Street Address |
12279 LAKE UNDERHILL RD |
| City | ORLANDO |
| State | FL |
| Zip Code | 32825-5010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275549735 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 12279 Lake Underhill Rd, Orlando, FL 32825-5010 | 2006-08-01 |
| 1619441300 | Francine Ford | Pharmacist | 12279 Lake Underhill Rd, Orlando, FL 32825-5010 | 2019-01-15 |
| 1659713188 | Sarah Clarice Langford | Pharmacist | 12279 Lake Underhill Rd, Orlando, FL 32825-5010 | 2013-07-25 |
| 1457620403 | Shiraz Nasser | Pharmacist | 12279 Lake Underhill Rd, Orlando, FL 32825-5010 | 2011-12-21 |
| 1912288127 | Ai-thu Thi Nguyen | Pharmacist | 12279 Lake Underhill Rd, Orlando, FL 32825-5010 | 2011-08-31 |
| 1073894325 | Magued R Mikhail | Pharmacist | 12279 Lake Underhill Rd, Orlando, FL 32825-5010 | 2011-08-31 |
| 1548540081 | Reginald Hadley | Pharmacist | 12279 Lake Underhill Rd, Orlando, FL 32825-5010 | 2011-08-27 |
| 1407047806 | Gina M. Webb | Nurse Practitioner | 12279 Lake Underhill Rd, Orlando, FL 32825-5010 | 2007-08-09 |
| 1891994752 | Lourinda Ann Hersman | Nurse Practitioner | 12279 Lake Underhill Rd, Orlando, FL 32825-5010 | 2007-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881255404 | Planes Dental East Orlando | Clinic/Center | 275 S Chickasaw Trail, Suite 2, Orlando, FL 32825 | 2019-06-25 |
| 1649837550 | Jessica Rivera | Social Worker | 10600 Bloomfield Drive, Apt 918, Orlando, FL 32825 | 2019-05-27 |
| 1326526708 | Total Family Care LLC | Family Medicine | 106 North Dean Road, Suite 1, Orlando, FL 32825 | 2018-07-30 |
| 1285121772 | Neurological Health Associates, L.L.C. | Psychiatry & Neurology | 11602 Lake Underhill Rd., Suite 104, Orlando, FL 32825 | 2018-04-19 |
| 1336636075 | Vijaya Laxmi Telu | Nurse Practitioner | 100 North Dean Rd Suite 101, Orlando, FL 32825 | 2018-04-18 |
| 1740795053 | Anna Louise Morris | Specialist/Technologist | 10719 Fairhaven Way, Orlando, FL 32825 | 2017-12-08 |
| 1568973352 | Darrenn G Cadet | Behavior Technician | 11121 Tortuga Bnd, Orlando, FL 32825 | 2017-10-19 |
| 1265942072 | Raquel B Saliba | Physical Therapist | 250 South Chickasaw Trail, Orlando, FL 32825 | 2017-10-06 |
| 1528585890 | Vreny Tatyana Gonzalez-casas | Behavior Technician | 3206 Mattson Dr, Orlando, FL 32825 | 2017-08-27 |
| 1184147803 | Alexandra Grace Mcmanus | Social Worker | 11258 Point Sylvan Circle, Orlando, FL 32825 | 2017-07-25 |
| Find all providers in zip 32825 | ||||
| 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 |
|---|---|---|---|---|
| 1124522800 | Kelly Mcneal | Pharmacy Technician | 2057 Kaylas Ct, Orlando, FL 32817-4543 | 2018-03-19 |
| 1922380146 | Darvi Waynita Redding | Pharmacy Technician | 6416 Old Winter Garden Rd, Orlando, FL 32835-1348 | 2011-09-14 |
| 1760005847 | Yaima De La Caridad Pellon | Pharmacy Technician | 13651 Hunters Oak Dr Ste 101, Orlando, FL 32837-7681 | 2020-05-22 |
| 1588287668 | Leslie Delacruz | Pharmacy Technician | 13651 Hunters Oak Dr, Orlando, FL 32837-7679 | 2020-05-22 |
| 1629634274 | Noriam Roman | Pharmacy Technician | 902 Lee Rd, Orlando, FL 32810-5561 | 2019-05-18 |
| 1801395314 | Kasey West | Pharmacy Technician | 10425 Narcoossee Rd, Orlando, FL 32832-6902 | 2018-02-09 |
| 1619385671 | Brian Joseph Garcia | Pharmacy Technician | 7727 Lake Underhill Rd, Pharmacy Department, Orlando, FL 32822-8224 | 2014-07-23 |
| 1285075846 | Tamara Theodore | Pharmacy Technician | 2501 N Orange Ave, Suite 122, Orlando, FL 32804-4603 | 2013-07-11 |
| 1174733042 | Anastasia Papageorgiou | Pharmacy Technician | 4400 Hoffner Ave, Orlando, FL 32812-2302 | 2007-05-22 |
| 1518002377 | Gloria J Jordan | Pharmacy Technician | 232 N Orange Blossom Trl, Orlando, FL 32805-1612 | 2007-02-20 |
| 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.