MRS. KADY RAE GONZALEZ (NPI# 1992129639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992129639 |
| Entity Type | Individual |
| Full Name | MRS. KADY RAE GONZALEZ |
| Other Name | MISS KADY RAE JOHNSON |
| Credential | PHARM D |
| Practice Address |
6201 North Suncoast Boulevard Crystal River FL 34428 |
| Practice Telephone | 3527958360 |
| Practice Fax Number | 3527958352 |
| Mailing Telephone | 3527958360 |
| Mailing Fax Number | 3527958352 |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2014-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS43723 | FL | Pharmacy Service Providers |
| Street Address |
6201 NORTH SUNCOAST BOULEVARD |
| City | CRYSTAL RIVER |
| State | FL |
| Zip Code | 34428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104262302 | Cedar Creek At Kings Bay, Inc | Assisted Living Facility | 231 Nw Hwy 19, Crystal River, FL 34428 | 2013-05-14 |
| 1558707828 | Lisa Kelly | Occupational Therapist | 8410 North Maple Avenue, Crystal River, FL 34428 | 2013-05-14 |
| 1235479403 | Jericka Sanders | Physical Therapy Assistant | 10105 W Ohio Dr, Crystal River, FL 34428 | 2013-02-25 |
| 1952627788 | Philip A Cenatiempo | Pharmacist | 1801 Nw Hwy 19, Crystal River, FL 34428 | 2010-04-19 |
| 1871816256 | Alexis R Bergan-guzman | Chiropractor | 116 Nw 5th Street, Crystal River, FL 34428 | 2010-03-12 |
| 1679707889 | Elizabeth Davis Mazzeo | Social Worker | 708 Ne 6th St, Crystal River, FL 34428 | 2009-05-04 |
| 1134136583 | Robert Matthew Berger | Anesthesiology | 6201 Suncoast Blvd, C/o Seven Rivers Regional, Crystal River, FL 34428 | 2006-08-01 |
| 1740211879 | K Mart Corp | Pharmacy | 1801 Northwest Hwy 19, Crystal River, FL 34428 | 2006-07-06 |
| 1174566434 | James T Stiles | Nurse Anesthetist, Certified Registered | 257 Ne Crystal St, Crystal River, FL 34428 | 2006-06-14 |
| 1801876065 | Barbara K Ellis | Nurse Practitioner | Crystal River Womens Health Center, 6151 N Suncoast Blvd Ste 1c, Crystal River, FL 34428 | 2006-01-21 |
| Find all providers in zip 34428 | ||||
| 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 |
|---|---|---|---|---|
| 1790104461 | James E. Hosch | Pharmacist | 2181 S Seaport Pt, Crystal River, FL 34429-5142 | 2014-04-10 |
| 1952627788 | Philip A Cenatiempo | Pharmacist | 1801 Nw Hwy 19, Crystal River, FL 34428 | 2010-04-19 |
| 1770805616 | Joseph P Hoffman | Pharmacist | 1801 Nw Us Highway 19, Crystal River, FL 34428-6133 | 2010-02-19 |
| 1639778335 | Malissa Field Watson | Pharmacist | 327 Ne Us Highway 19, Crystal River, FL 34429-4234 | 2020-10-22 |
| 1699397182 | Nancy Ruth Reader | Pharmacist | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | 2020-05-07 |
| 1043736465 | Mary Puckett Carroll | Pharmacist | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | 2017-08-17 |
| 1720442163 | Michael William Odell | Pharmacist | 1801 Nw Us Highway 19, Crystal River, FL 34428-6133 | 2016-04-12 |
| 1518358316 | Dong Jin Kim | Pharmacist | 1651 Se Us Highway 19, Crystal River, FL 34429-4830 | 2015-02-15 |
| 1578973574 | Jacqueline Runnels | Pharmacist | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | 2014-04-30 |
| 1831510148 | Jerry Wayne Cummings | Pharmacist | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | 2014-01-05 |
| Find all providers in CRYSTAL RIVER | ||||
| City | CRYSTAL RIVER |
| Zip Code | 34428 |
Please comment or provide details below to improve the information on MRS. KADY RAE GONZALEZ.
| 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.