NICOLE DERISMA (NPI# 1831565134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831565134 |
| Entity Type | Individual |
| Full Name | NICOLE DERISMA |
| Practice Address |
199 Weston Rd Attn: Walgreens #6403 Weston FL 33326-1143 |
| Practice Telephone | 9543840011 |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2015-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS53975 | FL | Pharmacy Service Providers |
| Street Address |
199 WESTON RD ATTN: WALGREENS #6403 |
| City | WESTON |
| State | FL |
| Zip Code | 33326-1143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689681769 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 199 Weston Rd, Weston, FL 33326-1143 | 2006-08-02 |
| 1376091058 | Jeniffer Pozin | Pharmacist | 199 Weston Rd, Weston, FL 33326-1143 | 2016-09-12 |
| 1548660947 | Stefani Marsh | Pharmacist | 199 Weston Rd, Weston, FL 33326-1143 | 2014-09-04 |
| 1598032708 | Jason Adam Bibliowicz | Pharmacist | 199 Weston Rd, Weston, FL 33326-1143 | 2011-11-17 |
| 1649557414 | Ira Joel Stein | Pharmacist | 199 Weston Rd, Weston, FL 33326-1143 | 2011-11-08 |
| 1467738443 | Gary Staropoli | Pharmacist | 199 Weston Rd, Weston, FL 33326-1143 | 2011-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739327 | Rosi Gimeno Therapy, Inc | Counselor | 304 Indian Trace, Suite 933, Weston, FL 33326 | 2020-10-28 |
| 1003425919 | Austin Lee Williams | Counselor | 1398 Sw 160th, Sunrise, FL 33326 | 2020-07-27 |
| 1467086272 | Myriam Taveras D.m.d P.a | Clinic/Center | 15810 West Sr 84, Sunrise, FL 33326 | 2020-03-02 |
| 1487288288 | Marcella Patino | Nurse Practitioner | 2300 North Commerce Parkway, Suite 313, Weston, FL 33326 | 2020-03-02 |
| 1194375451 | Heather Silversmith | Dietitian, Registered | 1875 North Corporate Lakes Blvd, Suite 300, Weston, FL 33326 | 2019-09-18 |
| 1669039285 | Jennifer Mann | Dietitian, Registered | 1647 Island Way, Weston, FL 33326 | 2019-05-20 |
| 1194283820 | Focused Home Health Agency, Inc. | Home Health | 2394 Weston Rd, Weston, FL 33326 | 2019-03-12 |
| 1083100796 | Comfort Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 1398 Sw 160th Avenue, Suite 101, Sunrise, FL 33326 | 2018-07-05 |
| 1356839120 | Vision Optique II LLC | Optometrist | 2200 N Commerce Pkwy Ste 110, Weston, FL 33326 | 2018-04-27 |
| 1033654678 | Sirahaydee Pena-alcantara | Registered Nurse | 1571 Fairlake Trace Apt 1608, Weston, FL 33326 | 2017-01-05 |
| Find all providers in zip 33326 | ||||
| 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 |
|---|---|---|---|---|
| 1548868029 | Lemnda Tangyie | Pharmacist | 3911 San Simeon Ln, Weston, FL 33331-5057 | 2020-10-15 |
| 1316545007 | Michael Adu-gyamfi | Pharmacist | 1612 Highland Ave, Weston, WI 54476-4836 | 2020-10-14 |
| 1962019752 | Victoria Louise Riggs | Pharmacist | 250 Court Street, Weston, WV 26452 | 2020-09-26 |
| 1184116949 | Thomas Brickenden | Pharmacist | 1801 Aspen Ln, Weston, FL 33327-2358 | 2018-06-06 |
| 1871958454 | Hyejin Ahn | Pharmacist | 476 Conservation Dr, Weston, FL 33327-2470 | 2015-12-23 |
| 1194199182 | Glenn Roy Antle | Pharmacist | 586 Spinnaker, Weston, FL 33326-2942 | 2015-11-14 |
| 1497121206 | Suja Samuel | Pharmacist | 2154 Hacienda Ter, Weston, FL 33327-2237 | 2015-08-15 |
| 1518343920 | Chooi Eng Yeoh | Pharmacist | 1888 Aspen Ln, Weston, FL 33327-2356 | 2015-08-07 |
| 1770989980 | Michael Fields | Pharmacist | 1524 Salerno Cir, Weston, FL 33327-1903 | 2014-11-15 |
| 1699176487 | Reenu Mathew | Pharmacist | 5305 U.S. Hwy Business 51, Weston, WI 54476 | 2014-09-11 |
| Find all providers in WESTON | ||||
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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.