DR. LATRICE ROEBUCK (NPI# 1841425923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841425923 |
| Entity Type | Individual |
| Full Name | DR. LATRICE ROEBUCK |
| Credential | PHARM.D |
| Practice Address |
2640 Hollywood Blvd Suite 209 Hollywood FL 33020-4852 |
| Practice Telephone | 9543673843 |
| Practice Fax Number | 9545890083 |
| Mailing Telephone | 7862100861 |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2012-07-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
PS41695 | FL | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PS41695 | FL | Pharmacy Service Providers |
| Street Address |
2640 HOLLYWOOD BLVD SUITE 209 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33020-4852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942246442 | Medical Visits At Home, Inc | Clinic/Center | 2640 Hollywood Blvd, Hollywood, FL 33020-4852 | 2006-06-22 |
| 1316280126 | Caring Heart Home Health Services, LLC | Home Health | 2640 Hollywood Blvd, Suite #123, Hollywood, FL 33020-4852 | 2013-03-29 |
| 1093099699 | Pharmaceutical Care Associates | Pharmacist | 2640 Hollywood Blvd, Suite 209, Hollywood, FL 33020-4852 | 2011-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629694203 | Oaks Medical Group, LLC | Internal Medicine | 2854 Jackson St, Hollywood, FL 33020 | 2020-06-19 |
| 1487217949 | Yaneisy Correa Vento Sr. | Nurse Practitioner | 2700 E Hollywood Blud, Hollywood, FL 33020 | 2019-04-19 |
| 1811453590 | Sandra's Car Service LLC | Non-emergency Medical Transport (VAN) | 2048 Mckinley St. Bay #1, Hollywood, FL 33020 | 2019-02-18 |
| 1134605330 | Cruz Ines Diaz | Peer Specialist | 3400 N- 29th Avenue, Hollywood, FL 33020 | 2018-07-11 |
| 1598258451 | Brian Tran | Dentist | 1704 Stirling Rd., Hollywood, FL 33020 | 2018-06-14 |
| 1295223451 | Broward Treatment Center | Substance Abuse Rehabilitation Facility | 1101 S 21 Ave, Hollywood, FL 33020 | 2018-04-24 |
| 1033617220 | Laura Goldman | Psychologist | 2514 Hollywood Blvd Ste 404, Hollywood, FL 33020 | 2018-01-23 |
| 1205344835 | Sunshine Health Supplies LLC | Durable Medical Equipment & Medical Supplies | 1926 Hollywood Blvd Ste 204, Hollywood, FL 33020 | 2018-01-17 |
| 1124536222 | Melina Rodriguez | Counselor | 3400 N 29th Avenue, Hollywood, FL 33020 | 2018-01-11 |
| 1003337783 | Publix Super Markers, Inc | Durable Medical Equipment & Medical Supplies | 1776 Polk St., Hollywood, FL 33020 | 2017-07-03 |
| Find all providers in zip 33020 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992081376 | Bolanle Basirat Okegbenr-jimoh | Pharmacist | 3965 Hyde Park Cir, Hollywood, FL 33021-3046 | 2011-10-28 |
| 1285244772 | Franco A Dickson | Pharmacist | 3600 Washington St, Hollywood, FL 33021-8216 | 2020-08-09 |
| 1770105918 | Robert Woods | Pharmacist | 3501 Johnson St, Inpatient Pharmacy, Hollywood, FL 33021-5421 | 2020-05-11 |
| 1407481450 | Nicolle Dambly | Pharmacist | 3501 Johnson St, Hollywood, FL 33021-5421 | 2020-03-10 |
| 1306496773 | Richie Onwuchekwa Uba | Pharmacist | 3600 Washington St, Hollywood, FL 33021-8216 | 2019-09-17 |
| 1699260729 | Lisa Kohler | Pharmacist | 3501 Johnson St, Hollywood, FL 33021-5421 | 2018-07-01 |
| 1487046041 | Marlaine Mance | Pharmacist | 3501 Johnson St, Pharmacy Department, Hollywood, FL 33021-5421 | 2015-02-19 |
| 1104256858 | Vu Phung Huynh | Pharmacist | 3501 Johnson St, Hollywood, FL 33021-5421 | 2013-11-16 |
| 1386084093 | Adel Eltantawy | Pharmacist | 3850 Hollywood Blvd, Hollywood, FL 33021-6748 | 2013-06-26 |
| 1053652560 | Angel Maldonado | Pharmacist | 3501 Johnson St, Hollywood, FL 33021-5421 | 2013-03-07 |
| Find all providers in HOLLYWOOD | ||||
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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.