GONZALO HOLGUIN (NPI# 1790192326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790192326 |
| Entity Type | Individual |
| Full Name | GONZALO HOLGUIN |
| Credential | CPHT |
| Practice Address |
1 Medical Center Blvd Pharmacy Department Cookeville TN 38501-4294 |
| Practice Telephone | 9317832682 |
| Mailing Telephone | 9317832682 |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2014-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | 0000044223 | TN | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | NABP E-PROFILE NUMBER | 615195 | 01 |
| Street Address |
1 MEDICAL CENTER BLVD PHARMACY DEPARTMENT |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-4294 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871596999 | Christopher J Klugewicz | Internal Medicine | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2005-05-23 |
| 1619580016 | Sheldon Hitchcock | Pharmacist | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2020-08-25 |
| 1174140008 | William Timothy Wilson | Registered Nurse | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2020-06-26 |
| 1689294233 | Kayltin Ray | Respiratory Therapist, Registered | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2020-04-23 |
| 1508499443 | Josh Brindley | Nurse Practitioner | 1 Medical Center Blvd, 5 West, Cookeville, TN 38501-4294 | 2020-02-19 |
| 1932747714 | Larry Darnell Calender | Nurse Practitioner | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2019-12-12 |
| 1346882719 | Sharon Marie Rodgers | Nurse Practitioner | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2019-10-17 |
| 1902451974 | Mason Mercedes Anderson | Occupational Therapy Assistant | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2019-08-07 |
| 1679138747 | Jessica Some | Pharmacist | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2019-05-04 |
| 1962967273 | Rachel Adams | Occupational Therapist | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2019-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| 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 |
|---|---|---|---|---|
| 1902425283 | Denisha N Golston | Pharmacy Technician | 1900 Belmont Blvd Apt T6, Nashville, TN 37212-3758 | 2020-04-16 |
| 1356824825 | Sharonda Bealer | Pharmacy Technician | 1661 International Place Dr Ste 150, Memphis, TN 38120-1432 | 2018-09-11 |
| 1124532478 | Vanessa Butterfly Denham | Pharmacy Technician | 5461 Blue Oak Dr, Chattanooga, TN 37416-1650 | 2017-11-24 |
| 1295121820 | Jeffrey Nicholas Williams | Pharmacy Technician | 120 Brazzell Rd, Dickson, TN 37055 | 2015-04-10 |
| 1396175907 | Niravkumar Patel | Pharmacy Technician | 7910 Regatta Dr, Apt 102, Cordova, TN 38016-1337 | 2013-11-18 |
| 1356774152 | Teri Jo Teague | Pharmacy Technician | 205 Millstone Cir, Clarksville, TN 37042-5931 | 2013-08-15 |
| 1134492713 | Sandra Denise Godsey | Pharmacy Technician | 635 Paul Huff Pkwy Nw, Cleveland, TN 37312-2970 | 2012-02-13 |
| 1316224850 | Shirley Carol Gilbert | Pharmacy Technician | 2045 Us Highway 45 Byp S, Trenton, TN 38382-2940 | 2011-11-11 |
| 1447537550 | Jason Ivory Taylor | Pharmacy Technician | 3333 E.shelby Dr., Memphis, TN 38105-4510 | 2011-11-03 |
| 1003190828 | Shantera L Childs | Pharmacy Technician | 3595 Lucy Rd, Millington, TN 38053-7807 | 2011-09-29 |
| Find all providers with the same taxonomy | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
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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.