MR. MATTHEW GORDON (NPI# 1760025340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760025340 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW GORDON |
| Credential | RPH |
| Practice Address |
1601 W Kennedy Blvd Tampa FL 33606-1844 |
| Practice Telephone | 8132546309 |
| Mailing Telephone | 8132546309 |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2019-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS32611 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021962 | Matthew Gordon | Technician | 31 Garden Lane, Waverly, WV 26184 | 2020-07-27 |
| 1275055071 | Matthew Gordon | Physical Therapist | 12731 Marblestone Dr Ste 202, Woodbridge, VA 22192-8334 | 2017-07-13 |
| 1003266032 | Matthew Gordon | Family Medicine | 10539 Professional Cir Ste 200, Reno, NV 89521 | 2016-06-21 |
| 1306812342 | Matthew C Gordon | Specialist/Technologist | 5603 Jane Austen St, Houston, TX 77005-1959 | 2006-02-28 |
| 1275980120 | Matthew Gordon I | Physical Therapy Assistant | 3703 W Lake Ave, Suite 200, Glenview, IL 60026-1223 | 2016-05-20 |
| 1710396494 | Matthew Gordon | Physical Therapist | 2906 Crossing Ct, Champaign, IL 61822-6163 | 2014-08-07 |
| 1417215401 | Matthew R. Gordon | Orthopaedic Surgery | 800 Washington St, Boston, MA 02111-1552 | 2012-04-26 |
| 1720360233 | Matthew Ronald Gordon | Rehabilitation Hospital | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2011-09-12 |
| 1447544820 | Matthew David Gordon | Chiropractor | 79 Hillsdale St, Hillsdale, MI 49242-1208 | 2011-06-03 |
| 1922391952 | Matthew Gordon | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2011-05-24 |
| Street Address |
1601 W KENNEDY BLVD |
| City | TAMPA |
| State | FL |
| Zip Code | 33606-1844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609023415 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1601 W Kennedy Blvd, Tampa, FL 33606-1844 | 2008-08-22 |
| 1679996839 | Daniel E Wasserman | Pharmacist | 1601 W Kennedy Blvd, Tampa, FL 33606-1844 | 2014-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235758749 | Seyed Shayan Ahmad Falasiri | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. #308, Tampa, FL 33606 | 2020-04-14 |
| 1174156400 | Jessica Styles | Specialist/Technologist | The University of Tampa, 401 W. Kennedy Blvd, Tampa, FL 33606 | 2020-02-14 |
| 1295389757 | David Green | Specialist/Technologist | 401 W. Kennedy Blvd Box: I, Tampa, FL 33606 | 2019-08-01 |
| 1417514720 | Four Winds Counseling LLC | Counselor | 611 West Bay Street, Tampa, FL 33606 | 2019-05-22 |
| 1699238014 | Azubuogu Charles Anudu | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd., Suite 308 Tampa, Fl 33606, Tampa, FL 33606 | 2019-04-11 |
| 1508327883 | D'arcy Jocelyn Arden Wainwright | Student in an Organized Health Care Education/Training Program | 17 David Blvd., Suite 308, Tampa, FL 33606 | 2019-03-28 |
| 1659851772 | Heather Widmer | Counselor | 202 N Howard Ave, Tampa, FL 33606 | 2018-08-17 |
| 1447737291 | Jonathan T Bell | Marriage & Family Therapist | 425 S. Orleans Ave, Tampa, FL 33606 | 2018-07-24 |
| 1184157539 | Alexander Lim | Student in an Organized Health Care Education/Training Program | 17 David Blvd, Suite 308, Tampa, FL 33606 | 2017-04-04 |
| 1760913057 | Melanie Loretta Bradley | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. Suite 308, University of South Florida, Morsani College of Medicin, Tampa, FL 33606 | 2017-03-27 |
| Find all providers in zip 33606 | ||||
| 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 |
|---|---|---|---|---|
| 1861093932 | David S Joseph | Pharmacist | 4712 Grainary Ave, Tampa, FL 33624-2106 | 2020-11-05 |
| 1639779226 | Robert Carl Borchard Jr. | Pharmacist | 4706 Cresson Ct, Tampa, FL 33624-4350 | 2020-11-01 |
| 1134729510 | Magaly Lozada | Pharmacist | 7011 West Waters Ave, Tampa, FL 33634 | 2020-10-27 |
| 1730787250 | Constantina Kolitsopoulos | Pharmacist | 2611 Bayshore Blvd Apt 1005, Tampa, FL 33629-7364 | 2020-10-16 |
| 1013522853 | Ellamy Lynne Rhoads | Pharmacist | 4308 N Coolidge Ave, Tampa, FL 33614-7757 | 2020-09-09 |
| 1356953152 | Howard Lawrence Mcleod | Pharmacist | 17003 Madres De Avila, Tampa, FL 33613-5234 | 2020-08-21 |
| 1912516311 | Olivia Simmons | Pharmacist | 15521 Carrillon Estates Blvd, Tampa, FL 33625-3303 | 2020-07-31 |
| 1235756503 | Omolade M Badero | Pharmacist | 3718 Jefferson Commons Dr Apt 301, Tampa, FL 33613-6481 | 2020-07-02 |
| 1518584317 | Puja Shah | Pharmacist | 10814 Cory Lake Dr, Tampa, FL 33647-2783 | 2020-06-29 |
| 1780208520 | Phillip Nguyen | Pharmacist | 12615 Stanwyck Cir, Tampa, FL 33626-4462 | 2020-06-07 |
| Find all providers in TAMPA | ||||
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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.