MR. DONALD CRISP VICKERS JR. (NPI# 1851673065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851673065 |
| Entity Type | Individual |
| Full Name | MR. DONALD CRISP VICKERS JR. |
| Credential | RPH BCNSP |
| Practice Address |
1414 Kuhl Ave Orlando Regional Medical Center Dept of Pharmacy Orlando FL 32806-2008 |
| Mailing Address |
5954 Shore Breeze Ln Orlando FL 32810-5031 |
| Practice Telephone | 3218415327 |
| Practice Fax Number | 4076496839 |
| Mailing Telephone | 4079274160 |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
10040 | AL | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PS 18603 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700318078 | Donald Vickers | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 543, Little Rock, AR 72205-7101 | 2017-03-28 |
| Street Address |
1414 KUHL AVE ORLANDO REGIONAL MEDICAL CENTER DEPT OF PHARMACY |
| City | ORLANDO |
| State | FL |
| Zip Code | 32806-2008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043296189 | David Mazer,m.d.,p.a. | Hospitalist | 1414 Kuhl Ave, Orlando, FL 32806-2008 | 2005-12-20 |
| 1689202327 | Alexander Mcbee | Student in an Organized Health Care Education/Training Program | 1414 Kuhl Ave, Orlando, FL 32806-2008 | 2020-03-30 |
| 1063047850 | Kristy Shinean Gamble-hart | Nurse Practitioner | 1414 Kuhl Ave, Orlando, FL 32806-2008 | 2020-03-11 |
| 1659904449 | Shannon Hassett Harville | Registered Nurse | 1414 Kuhl Ave, Orlando, FL 32806-2008 | 2020-02-19 |
| 1255970992 | Clint James Santiago | Student in an Organized Health Care Education/Training Program | 1414 Kuhl Ave, Orlando, FL 32806-2008 | 2019-12-28 |
| 1144869199 | Hayley Wood | Student in an Organized Health Care Education/Training Program | 1414 Kuhl Ave, Orlando, FL 32806-2008 | 2019-12-22 |
| 1508417163 | Mary Janette Sendin | Clinical Nurse Specialist | 1414 Kuhl Ave, Orlando, FL 32806-2008 | 2019-09-25 |
| 1174088488 | Patricia Irene Geddie | Clinical Nurse Specialist | 1414 Kuhl Ave, Orlando, FL 32806-2008 | 2019-01-31 |
| 1801377437 | Eduardo J Soto-santiago | Nurse Practitioner | 1414 Kuhl Ave, Orlando, FL 32806-2008 | 2018-08-22 |
| 1578068490 | Lara Tucker | Student in an Organized Health Care Education/Training Program | 1414 Kuhl Ave, Orlando, FL 32806-2008 | 2018-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585674 | Erika Williams | Pharmacist | 2715 South Orlando Ave, Orlando, FL 32806 | 2020-10-13 |
| 1013545664 | Johanna Yadira Cook | Registered Nurse | Orlando Health Orlando Regional Medical Center, 52 W. Underwood St, Orlando, FL 32806 | 2020-03-30 |
| 1396372306 | Warren Andrew Williams | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Ave., 5th Fl, Mp# 43, Orlando, FL 32806 | 2020-03-27 |
| 1225665433 | Astrid Helen Casin | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Avenue, 5th Fl., Mp#43, Orland, FL 32806 | 2020-03-26 |
| 1508404211 | Hidden Potential Florida LLC | Assistant Behavior Analyst | 2857 South Bumby Avenue, Orlando, FL 32806 | 2019-12-12 |
| 1720639883 | Cynthia Lee Kling | Clinical Nurse Specialist | Arnold Palmer Hospital, 92 W. Miller St., Orlando, FL 32806 | 2019-09-20 |
| 1033769930 | Darleen Ann Williams | Clinical Nurse Specialist | 52 W. Underwood, Orlando, FL 32806 | 2019-09-13 |
| 1508412644 | Trischaday Kimberley Demetrius | Nurse Practitioner | Orlando Epilepsy Center, 226 W Michigan Street, Orlando, FL 32806 | 2019-08-14 |
| 1962964809 | Ajc Software Inc | Prosthetic/Orthotic Supplier | 1405 South Orange Avenue Suite 308, Orlando, FL 32806 | 2019-04-01 |
| 1598232852 | Sodo Smiles Dentistry, Pa | Dentist | 3123 S. Orange Ave., Suite 107, Orlando, FL 32806 | 2018-10-25 |
| Find all providers in zip 32806 | ||||
| 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 |
|---|---|---|---|---|
| 1780053884 | Kendra Ellis | Pharmacist | 2290 Premier Row, Orlando, FL 32809-6212 | 2015-09-18 |
| 1326428574 | Tram Nhuthanh Simmons | Pharmacist | 10706 Cypress Trail Dr, Orlando, FL 32825-5035 | 2015-06-03 |
| 1477829679 | Kimberli Jen Do | Pharmacist | 2250 Bedford Rd, Orlando, FL 32803-1443 | 2012-04-02 |
| 1427321876 | Lillian Lerae Smith | Pharmacist | 1178 Redman St Apt C, Orlando, FL 32839-3000 | 2012-02-15 |
| 1871863340 | Thu Nguyen | Pharmacist | 8207 Palazzo Ct., Orlando, FL 32836 | 2011-12-30 |
| 1811273584 | Olukayode Victor Sunmoni | Pharmacist | 7301 Victoria Cir, Orlando, FL 32835-6005 | 2011-10-26 |
| 1255418521 | Alicia Ruviene Chatman | Pharmacist | 10496 Henbury St, Orlando, FL 32832-6956 | 2006-11-01 |
| 1205444569 | Jamie Matthew Litteral | Pharmacist | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-07-22 |
| 1659915809 | Alyssa Ann Roder | Pharmacist | 12550 S Orange Blossom Trl, Orlando, FL 32837-8500 | 2019-10-31 |
| 1609426287 | Sabrina Marie Perez | Pharmacist | 408 E Michigan St, Orlando, FL 32806-4542 | 2019-09-16 |
| Find all providers in ORLANDO | ||||
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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.