MR. JON ROBERT LUEDTKE (NPI# 1902920838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902920838 |
| Entity Type | Individual |
| Full Name | MR. JON ROBERT LUEDTKE |
| Credential | RPH |
| Practice Address |
1501 Viscaya Pkwy Suite 2 Cape Coral FL 33990-6207 |
| Practice Telephone | 2397728866 |
| Practice Fax Number | 2397727117 |
| Mailing Telephone | 2397728866 |
| Mailing Fax Number | 2397727117 |
| Enumeration Date | 2007-03-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS25896 | FL | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 109745800 | 05 |
| Street Address |
1501 VISCAYA PKWY SUITE 2 |
| City | CAPE CORAL |
| State | FL |
| Zip Code | 33990-6207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245302025 | Bilgin Inc | Durable Medical Equipment & Medical Supplies | 1501 Viscaya Pkwy, Suite 2, Cape Coral, FL 33990-3299 | 2006-11-15 |
| 1245794502 | Bilgin Inc | Pharmacy | 1501 Viscaya Pkwy, Cape Coral, FL 33990-6226 | 2019-01-30 |
| 1326389883 | Viscaya Dental, LLC | Dentist | 1501 Viscaya Pkwy, Cape Coral, FL 33990-6226 | 2013-03-08 |
| 1316070956 | Ronald F Stotter | Pharmacist | 1501 Viscaya Pkwy, Cape Coral, FL 33990-6207 | 2007-03-13 |
| 1790767747 | Physicians Primary Care of Southwest Florida Pl | Physician Assistant | 1501 Viscaya Pkwy, Cape Coral, FL 33990-6207 | 2005-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902462 | Shahida Rafiq | Pharmacist | 1619 Delprado Blvd, Cape Coral, FL 33990 | 2020-11-03 |
| 1386259208 | Hope of Life Medical Supply Corp | Durable Medical Equipment & Medical Supplies | 2328 Hancock Bridge Pkwy 1st Fl Ste 114-e, Cape Coral, FL 33990 | 2020-09-09 |
| 1669001814 | Jamie Lindon Kohl | Specialist/Technologist | 605 Se 13th Ct, Cape Coral, FL 33990 | 2020-04-08 |
| 1548809551 | Medical Risk Solutions | Family Medicine | 1020 Cultural Park Blvd, Cottage #7, Cape Coral, FL 33990 | 2019-12-23 |
| 1013495175 | Sunshine Assisted Living Home Care Facility. | Assisted Living Facility | 1422 Se 23rd Ter., Crape Coral, FL 33990 | 2018-08-01 |
| 1215429279 | Five Star Homecare LLC | Adult Companion | 629 Se 10th Pl, Cape Coral, FL 33990 | 2018-06-05 |
| 1730679192 | Amanda Tiana Bright | Developmental Therapist | 1507 Se 18th St, Cape Coral, FL 33990 | 2018-05-11 |
| 1487170908 | Natalie Diaz | Behavior Technician | 317 Se 16th Place, Cape Coral, FL 33990 | 2017-08-16 |
| 1679097273 | Centro Medico LLC | Clinic/Center | 1425 Viscaya Pkwy Ste 101, Cape Coral, FL 33990 | 2017-07-26 |
| 1629506308 | Besties LLC | Adult Companion | 518 Se 20th Ct, Cape Coral, FL 33990 | 2017-05-25 |
| Find all providers in zip 33990 | ||||
| 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 |
|---|---|---|---|---|
| 1952902462 | Shahida Rafiq | Pharmacist | 1619 Delprado Blvd, Cape Coral, FL 33990 | 2020-11-03 |
| 1730791286 | Shaan Abid Malik | Pharmacist | 1501 Viscaya Pkwy Ste 2, Cape Coral, FL 33990-6226 | 2020-08-17 |
| 1407466840 | Dominic Cordisco | Pharmacist | 211 Hancock Bridge Pkwy Unit 7, Cape Coral, FL 33990-4022 | 2020-07-31 |
| 1649891367 | Michelle Estevez | Pharmacist | 4101 Ne 20th Ct, Cape Coral, FL 33909-7362 | 2020-05-05 |
| 1710534680 | Ian Adrian Toloza | Pharmacist | 4202 Sw 14th Ave, Cape Coral, FL 33914-5668 | 2019-08-24 |
| 1568941482 | Jennifer Elizabeth Binder | Pharmacist | 5223 Sunnybrook Ct, Cape Coral, FL 33904-5861 | 2018-08-10 |
| 1740781350 | Estelle Sanchez-marrero | Pharmacist | 4 Se 21st Ave, Cape Coral, FL 33990-1425 | 2018-02-28 |
| 1184176901 | Gerta Avdia | Pharmacist | 611 Old Burnt Store Rd South, Cape Coral, FL 33991 | 2016-10-27 |
| 1811444680 | Michael Douglas Lee | Pharmacist | 1805 Sw Santa Barbara Pl, Cape Coral, FL 33991-3459 | 2016-09-08 |
| 1124573852 | Kristine Anne Marie Kalugdan Quizon | Pharmacist | 1926 Ne 15th St, Cape Coral, FL 33909-1648 | 2016-08-23 |
| Find all providers in CAPE CORAL | ||||
| City | CAPE CORAL |
| Zip Code | 33990 |
Please comment or provide details below to improve the information on MR. JON ROBERT LUEDTKE.
| 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.