JAYSON RICHARD MOORE (NPI# 1831460245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831460245 |
| Entity Type | Individual |
| Full Name | JAYSON RICHARD MOORE |
| Practice Address |
22829 State Road 54 Land O Lakes FL 34639-5227 |
| Practice Telephone | 8139490464 |
| Mailing Telephone | 8139490464 |
| Enumeration Date | 2012-01-16 |
| Last Update Date | 2012-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS37897 | FL | Pharmacy Service Providers |
| Street Address |
22829 STATE ROAD 54 |
| City | LAND O LAKES |
| State | FL |
| Zip Code | 34639-5227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699709675 | Manuel Francisco Rosado | Nurse Practitioner | 22829 State Road 54, Land O Lakes, FL 34639-5227 | 2006-07-10 |
| 1073125787 | Keith Andrew Hoffman | Pharmacist | 22829 State Road 54, Land O Lakes, FL 34639-5227 | 2020-08-24 |
| 1881205896 | Matthew Bradley Cohen | Pharmacist | 22829 State Road 54, Land O Lakes, FL 34639-5227 | 2020-08-13 |
| 1396177101 | David Merrill | Pharmacist | 22829 State Road 54, Land O Lakes, FL 34639-5227 | 2013-08-02 |
| 1699026948 | Sherri Ricottone | Nurse Practitioner | 22829 State Road 54, Land O Lakes, FL 34639 | 2012-09-26 |
| 1801167291 | Carlos Roman | Pharmacist | 22829 State Road 54, Land O Lakes, FL 34639-5227 | 2012-01-18 |
| 1790069292 | Betty R Akoli | Pharmacist | 22829 State Road 54, Land O Lakes, FL 34639-5227 | 2011-10-03 |
| 1639451842 | Nathan Jerome Philyaw Jr. | Pharmacist | 22829 State Road 54, Land O Lakes, FL 34639-5227 | 2011-09-13 |
| 1841440435 | Lorraine A Grisham | Pharmacist | 22829 State Road 54, Land O Lakes, FL 34639-5227 | 2008-09-19 |
| 1851424493 | Kristin Love Parchmon | Nurse Practitioner | 22829 State Road 54, Land O Lakes, FL 34639-5227 | 2007-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730640962 | Destiny Marie Gaines | Counselor | 22703 Chesterview Loop Apt.211, Land O Lakes, FL 34639 | 2019-03-29 |
| 1720544380 | Central Florida Dermatology Institute, Pllc | Dermatology | 5450 Land O Lakes Blvd, Land O Lakes, FL 34639 | 2019-02-19 |
| 1073932174 | Erika Schaefer Meier | Nurse Practitioner | 2061 Collier Parkway, Land O Lakes, FL 34639 | 2014-04-16 |
| 1548526924 | George Alan Brant | Dermatology | 5450 Land O' Lakes Blvd, Land O' Lakes, FL 34639 | 2012-04-10 |
| 1679848956 | Floirda Medical Clinic Aco, LLC | Clinic/Center | 2150 Via Bella Blvd., Land O Lakes, FL 34639 | 2012-03-20 |
| 1336452408 | Jennifer T Gardner | Counselor | 5402 Swallow Dr, Land O Lakes, FL 34639 | 2010-07-19 |
| 1104094515 | Angela Claire Marina | Occupational Therapy Assistant | 7227 Land O Lakes Boulevard, Land O Lakes, FL 34639 | 2008-02-19 |
| 1154521151 | Kelly John Mulroy | Counselor | 3632 Land O'lakes Blvd, Suite 106, Land O'lakes, FL 34639 | 2007-07-19 |
| 1225248610 | Sandra J Aljure Estrada Dds Pa | Dentist | 21533 Villages Lakes Shopping Center, Land O Lakes, FL 34639 | 2007-05-23 |
| 1124233523 | Antionette Elizabeth Welch | Nurse Practitioner | 2121 Collier Parkway, The Little Clinic, Land O' Lakes, FL 34639 | 2007-05-11 |
| Find all providers in zip 34639 | ||||
| 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 |
|---|---|---|---|---|
| 1740633072 | Ubolwan Somboonsong | Pharmacist | 3518 Barnweill St, Land O Lakes, FL 34638-7842 | 2016-07-21 |
| 1295111862 | Zubair Zafrullah | Pharmacist | 3903 Grand Forks Dr, Land O Lakes, FL 34639-9531 | 2015-08-06 |
| 1245614304 | Nicholas Carris | Pharmacist | 2150 Via Bella Blvd, Land O Lakes, FL 34639-5403 | 2015-07-17 |
| 1386032100 | Rakhee Patel | Pharmacist | 20410 Lace Cascade Rd, Land O Lakes, FL 34637-5807 | 2014-12-31 |
| 1760870752 | Carrie Heinz | Pharmacist | 7040 Land O Lakes Blvd Unit 102, Land O Lakes, FL 34638-3201 | 2014-12-30 |
| 1336558568 | Sarah Daoud | Pharmacist | 3547 Morgans Bluff Ct, Land O Lakes, FL 34639-4965 | 2014-08-13 |
| 1578808580 | Jeffrey Miley | Pharmacist | 5910 Candytuft Pl, Land O Lakes, FL 34639-2669 | 2012-12-02 |
| 1275806861 | Sylvia Zaky | Pharmacist | 2713 Butterfly Landing Drive, Land O Lakes, FL 34638 | 2012-02-14 |
| 1801167341 | Kimberly Weller | Pharmacist | 18505 Snowdonia Dr, Land O Lakes, FL 34638-7967 | 2012-01-13 |
| 1598035107 | Luis F Garcia I | Pharmacist | 25736 Frith St, Land O Lakes, FL 34639-5682 | 2012-01-12 |
| Find all providers in LAND O LAKES | ||||
| City | LAND O LAKES |
| Zip Code | 34639 |
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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.