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Active NPI 1447347992 Individual Practitioner Female Practitioner

Annie Clara Widemond , CPHT

Pharmacy Technician • Macclenny, FL

Professional Overview & Biography Verified Profile Summary

Annie Widemond, CPHT is a registered healthcare professional specializing in Pharmacy Technician in Macclenny, FL. Practice services are available at 1436 STATE ROAD 121 SOUTH under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1436 State Road 121 South

Macclenny, FL 32063

Telephone 9042595868
Fax 9042595275
Associated Practice Facility / Clinic
🏢 Susan Dubose Facility NPI 1366721904

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacy Technician in Macclenny, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Macclenny, FL (459 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacy Technician Primary Specialty

NUCC Taxonomy Code: 183700000X

State License FL 2901-0104-0756-923

A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Heidi Vassallo , CPHT

Pharmacy Technician

NPI 1154422145

Certified Pharmacy Technician

Alaina Waddell , CPHT

Pharmacy Technician

NPI 1467682997

Certified Pharmacy Technician

NPI 1679676902

Doctor of Pharmacy (Pharm.D.)

NPI 1780760967

Registered Pharmacist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1436 STATE ROAD 121 SOUTH, MACCLENNY, FL 32063 (Tel: 9042595868)

📍
Updated Business Mailing Address July 08, 2007

Registered at 507 GRISSHOLM ST, P. O. BOX 1192, MACCLENNY, FL 320632613 (Tel: 9042596785)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ANNIE WIDEMOND, C.PH.T.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacy Technician (License #2901-0104-0756-923 in FL)

🟢
Initial NPI Registration & Enumeration October 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1447347992
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 06, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

507 Grissholm St, P. O. Box 1192

Macclenny, FL 320632613

Phone: 9042596785

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.