LYUDMILA PETROVNA HAVILAND (NPI# 1831799444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831799444 |
| Entity Type | Individual |
| Full Name | LYUDMILA PETROVNA HAVILAND |
| Practice Address |
4928 State Road 674 Wimauma FL 33598-3510 |
| Practice Telephone | 8136331463 |
| Mailing Telephone | 8136331463 |
| Enumeration Date | 2020-11-01 |
| Last Update Date | 2020-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS46049 | FL | Pharmacy Service Providers |
| Street Address |
4928 STATE ROAD 674 |
| City | WIMAUMA |
| State | FL |
| Zip Code | 33598-3510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043237415 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 4928 State Road 674, Wimauma, FL 33598-3510 | 2006-07-16 |
| 1265032718 | Brian Staley | Pharmacist | 4928 State Road 674, Wimauma, FL 33598-3510 | 2020-10-26 |
| 1356941835 | Dharmesh R Rana | Pharmacist | 4928 State Road 674, Wimauma, FL 33598-3510 | 2020-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962032672 | Micheline Renee Ferguson | Case Manager/Care Coordinator | 10008 Carloway Hills Dr., Wimauma, FL 33598 | 2020-01-22 |
| 1619468840 | Community & Home Health Solutions Inc | Registered Nurse | 15703 Carlton Lake Rd., Wimauma, FL 33598 | 2018-05-23 |
| 1629368949 | Marcus William Campbell | Pharmacist | Tgmg Sun City Center, 16521 South Us Hwy 301, Wimauma, FL 33598 | 2011-04-08 |
| 1184934895 | Edith Berrien Homehealth Service | Home Health | 6011 Vel Street, Wimauma, FL 33598 | 2010-10-15 |
| 1962637488 | Christina Ann Raymond | Mechanotherapist | 1078 Chert Rock Trl, Wimauma, FL 33598 | 2009-05-28 |
| 1922139344 | Wal-mart Stores East, L.p. | Technician/Technologist | 4928 State Rd. 674, Ruskin, FL 33598 | 2007-03-08 |
| 1962455873 | Italy Shoe Lab, Inc | Prosthetic/Orthotic Supplier | 16621 Hwy 301 S, #107, Wimauma, FL 33598 | 2006-05-19 |
| 1275071581 | Landez Thomas | Behavior Technician | 10722 Standing Stone Dr, Wimauma, FL 33598 | 2017-02-07 |
| 1407413974 | Synergic Healthcare Solutions LLC | Clinic/Center | 16521 S Us Highway 301, Wimauma, FL 33598-2032 | 2019-05-21 |
| 1881161826 | Tower Imaging LLC | Radiology | 16521 S. Us Hwy 301, Wimauma, FL 33598-2032 | 2018-10-29 |
| Find all providers in zip 33598 | ||||
| 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 |
|---|---|---|---|---|
| 1114358835 | Steven Jacob | Pharmacist | 5207 Lake Venice Dr, Wimauma, FL 33598-4410 | 2013-12-05 |
| 1265032718 | Brian Staley | Pharmacist | 4928 State Road 674, Wimauma, FL 33598-3510 | 2020-10-26 |
| 1356941835 | Dharmesh R Rana | Pharmacist | 4928 State Road 674, Wimauma, FL 33598-3510 | 2020-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093932 | David S Joseph | Pharmacist | 4712 Grainary Ave, Tampa, FL 33624-2106 | 2020-11-05 |
| 1174124176 | Charlie Douglas | Pharmacist | 1024 South State Road 19, Pharmacy, Palatka, FL 32177 | 2020-11-05 |
| 1801497987 | Sasira Malireddy-konala | Pharmacist | 2461 E Gulf-to-lake, Inverness, FL 34453 | 2020-11-04 |
| 1366043465 | Stefan Ferro | Pharmacist | 637 Whisper Cove Ct, Dunedin, FL 34698-8049 | 2020-11-04 |
| 1578164976 | Justin Gary Dugger | Pharmacist | 9218 Sr-228 E, Macclenny, FL 32063 | 2020-11-03 |
| 1740881184 | Edward J Kolbasiuk Jr. | Pharmacist | 13113 Darla Ct, Spring Hill, FL 34609-9320 | 2020-11-03 |
| 1942801287 | Richard Loutzenhiser | Pharmacist | 1215 Old Helena Rd, Winter Haven, FL 33884-2102 | 2020-11-03 |
| 1952902462 | Shahida Rafiq | Pharmacist | 1619 Delprado Blvd, Cape Coral, FL 33990 | 2020-11-03 |
| 1265033807 | Larry Box | Pharmacist | 100 Deerpath Ct, Oldsmar, FL 34677-5305 | 2020-11-02 |
| 1669073128 | Kandra Williams | Pharmacist | 10148 Kings Crossing Dr, Jacksonville, FL 32219-7621 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
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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.