JEREMIAH ADAM RODRIGUEZ (NPI# 1932762960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932762960 |
| Entity Type | Individual |
| Full Name | JEREMIAH ADAM RODRIGUEZ |
| Credential | PHARM D |
| Practice Address |
12210 Bruce B Downs Blvd Tampa FL 33612-9211 |
| Practice Telephone | 8139722000 |
| Mailing Telephone | 8139722000 |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2019-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS58652 | FL | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FLORIDA BOARD OF PHARMACY | PS58652 | 01 |
| Street Address |
12210 BRUCE B DOWNS BLVD |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-9211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851351472 | Kenneth M. Bailey | Radiology | 12210 Bruce B Downs Blvd, Tampa, FL 33612-9211 | 2006-03-27 |
| 1689191124 | Sumrana Qadeer | Pharmacist | 12210 Bruce B Downs Blvd, Tampa, FL 33612-9211 | 2017-08-25 |
| 1033647193 | Mandana Akhoondan | Pharmacist | 12210 Bruce B Downs Blvd, Tampa, FL 33612-9211 | 2017-06-01 |
| 1376091066 | Venus Shah | Pharmacist | 12210 Bruce B Downs Blvd, Tampa, FL 33612-9211 | 2016-09-12 |
| 1952759029 | Loui Thayil | Pharmacist | 12210 Bruce B Downs Blvd, Tampa, FL 33612-9211 | 2016-05-31 |
| 1063800449 | Bindu Pillai | Pharmacist | 12210 Bruce B Downs Blvd, Tampa, FL 33612-9211 | 2015-01-07 |
| 1043608573 | Christine Marie Ciaramella | Pharmacist | 12210 Bruce B Downs Blvd, Tampa, FL 33612-9211 | 2015-01-06 |
| 1811395072 | Tampa Vamc | Clinic/Center | 12210 Bruce B Downs Blvd, Tampa, FL 33612-9211 | 2014-12-19 |
| 1962822999 | Michael Saco | Dermatology | 12210 Bruce B Downs Blvd, Tampa, FL 33612-9211 | 2014-04-17 |
| 1972934024 | Sumaiya Khan | Pharmacist | 12210 Bruce B Downs Blvd, Tampa, FL 33612-9211 | 2013-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| 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 |
|---|---|---|---|---|
| 1861093932 | David S Joseph | Pharmacist | 4712 Grainary Ave, Tampa, FL 33624-2106 | 2020-11-05 |
| 1639779226 | Robert Carl Borchard Jr. | Pharmacist | 4706 Cresson Ct, Tampa, FL 33624-4350 | 2020-11-01 |
| 1134729510 | Magaly Lozada | Pharmacist | 7011 West Waters Ave, Tampa, FL 33634 | 2020-10-27 |
| 1730787250 | Constantina Kolitsopoulos | Pharmacist | 2611 Bayshore Blvd Apt 1005, Tampa, FL 33629-7364 | 2020-10-16 |
| 1013522853 | Ellamy Lynne Rhoads | Pharmacist | 4308 N Coolidge Ave, Tampa, FL 33614-7757 | 2020-09-09 |
| 1356953152 | Howard Lawrence Mcleod | Pharmacist | 17003 Madres De Avila, Tampa, FL 33613-5234 | 2020-08-21 |
| 1912516311 | Olivia Simmons | Pharmacist | 15521 Carrillon Estates Blvd, Tampa, FL 33625-3303 | 2020-07-31 |
| 1235756503 | Omolade M Badero | Pharmacist | 3718 Jefferson Commons Dr Apt 301, Tampa, FL 33613-6481 | 2020-07-02 |
| 1518584317 | Puja Shah | Pharmacist | 10814 Cory Lake Dr, Tampa, FL 33647-2783 | 2020-06-29 |
| 1780208520 | Phillip Nguyen | Pharmacist | 12615 Stanwyck Cir, Tampa, FL 33626-4462 | 2020-06-07 |
| Find all providers in TAMPA | ||||
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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.