DR. SUSAN DIETZE (NPI# 1902274608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902274608 |
Entity Type | Individual |
Full Name | DR. SUSAN DIETZE |
Credential | PHARMD |
Practice Address |
1352 W 15th St Suite 8 Panama City FL 32401-2000 |
Practice Telephone | 8508736888 |
Practice Fax Number | 8508736163 |
Mailing Telephone | 8508736888 |
Mailing Fax Number | 8508736163 |
Enumeration Date | 2015-09-11 |
Last Update Date | 2015-09-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 183500000X | Pharmacist | A1-0004739 | DE | Pharmacy Service Providers |
Y | 183500000X | Pharmacist | PS53751 | FL | Pharmacy Service Providers |
N | 183500000X | Pharmacist | RP449251 | PA | Pharmacy Service Providers |
Street Address |
1352 W 15TH ST SUITE 8 |
City | PANAMA CITY |
State | FL |
Zip Code | 32401-2000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447226170 | Crescent Healthcare, Inc. | Home Health | 1352 W 15th St, Suite 8, Panama City, FL 32401-2000 | 2006-02-23 |
1356723050 | Coral Anna Hood | Pharmacist | 1352 W 15th St, Ste 8, Panama City, FL 32401-2000 | 2015-06-18 |
1750788923 | Susan Klein | Pharmacist | 1352 W 15th St, Suite 8, Panama City, FL 32401-2000 | 2014-12-03 |
1508263773 | Travis J Allen | Pharmacist | 1352 W 15th St, Suite #8, Panama City, FL 32401-2000 | 2014-12-03 |
1720485071 | Matthew Morris | Pharmacist | 1352 W 15th St, Suite 8, Panama City, FL 32401-2000 | 2014-12-02 |
1326325226 | Steven Spohn | Pharmacist | 1352 W 15th St, Ste 8, Panama City, FL 32401-2000 | 2011-11-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760946727 | Panama City Drugs | Pharmacy | 3127 East Bus 98, Panama City, FL 32401 | 2019-01-24 |
1154813418 | Karl Roger Metzger | Pharmacist | 306 S Macarthur Ave, Panama City, FL 32401 | 2018-06-03 |
1942703905 | Muhammad Eckhaus | Acupuncturist | 2401 West 15th Street, Panama City, FL 32401 | 2018-03-15 |
1922534171 | Wolford Family Practice Inc | Nurse Practitioner | 1027 E Business Hwy 98, Panama City, FL 32401 | 2017-05-10 |
1508397381 | Shoreline Medical Solutions & Dme, LLC | Durable Medical Equipment & Medical Supplies | 405 W Oak Ave Ste B, Panama City, FL 32401 | 2017-03-23 |
1679027189 | David Lawrence Angier | Behavioral Analyst | 904 Flower Ave, Panama City, FL 32401 | 2016-08-12 |
1427422369 | Kathy Purdessy | Nurse Practitioner | 801 E 6th St Ste 604, Panama City, FL 32401 | 2015-11-16 |
1881015154 | Anesthesia Unlimited Inc | Nurse Anesthetist, Certified Registered | 801 E 6th Stret, Ste 205, Panama City, FL 32401 | 2014-01-03 |
1598193765 | Lashunda Sherese Thomas | Social Worker | 2711 W. 15th St., Panama City, FL 32401 | 2013-10-24 |
1144654153 | Raymond Dretti Pacheco | Licensed Practical Nurse | 509 N Center Ave, Panama City, FL 32401 | 2013-08-27 |
Find all providers in zip 32401 |
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 |
---|---|---|---|---|
1154813418 | Karl Roger Metzger | Pharmacist | 306 S Macarthur Ave, Panama City, FL 32401 | 2018-06-03 |
1063819241 | Grant Davis | Pharmacist | 1352 W 15th St Ste 8, Panama City, FL 32401-2000 | 2014-12-03 |
1184034837 | Noha Azab | Pharmacist | 610 E Baldwin Rd, Panama City, FL 32405-4208 | 2014-05-03 |
1932531449 | Aimee N Hardaway | Pharmacist | 2340 Florida 77, T-0811, Panama City, FL 32405-4404 | 2013-08-07 |
1497024020 | Rachel Coombs | Pharmacist | 635 E Business Hwy 98, Panama City, FL 32401-4448 | 2011-12-28 |
1528341021 | Laura Anne Byrne | Pharmacist | 635 East Sixth St, Panama City, FL 32401 | 2011-09-21 |
1326349432 | Dyan Fleming | Pharmacist | 4003 Harlow Ln, Panama City, FL 32403-1046 | 2010-11-04 |
1427380757 | Phillip Howard Pack | Pharmacist | 1329 W 15th St, Panama City, FL 32401-2048 | 2010-02-11 |
1417120205 | Maged Shalaby | Pharmacist | 340 W 23rd St Ste D2, Panama City, FL 32405-4541 | 2008-04-11 |
1477759850 | Deborah Lee Greiner | Pharmacist | 4612 Sunset Dr, Panama City, FL 32404-7343 | 2007-06-22 |
Find all providers in PANAMA CITY |
City | PANAMA CITY |
Zip Code | 32401 |
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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.