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Active NPI 1164794335 Individual Practitioner Female Practitioner

John Bola Emmanuel , PHARMACIST

Pharmacist - Geriatric • Valrico, FL

Professional Overview & Biography Verified Profile Summary

John Emmanuel, PHARMACIST is a registered healthcare professional specializing in Pharmacist - Geriatric in Valrico, FL. Practice services are available at 3606 GREENSTONE PL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3606 Greenstone Pl

Valrico, FL 335966919

Telephone 8135889275

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist - Geriatric in Valrico, FL

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

Practicing in Valrico, FL (77 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

CMS Verified: 2024-06-06
Pharmacist - Geriatric Primary Specialty

NUCC Taxonomy Code: 1835G0303X

State License FL PSA41842

A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License FL PS41842

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License
PS 41842 (FL)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location June 06, 2024

Registered at 3606 GREENSTONE PL, VALRICO, FL 335966919 (Tel: 8135889275)

📍
Updated Business Mailing Address June 06, 2024

Registered at 3606 GREENSTONE PL, VALRICO, FL 335966919 (Tel: 1358892758)

👤
Provider Name / Credentials Updated June 06, 2024

Recorded as JOHN EMMANUEL, PHARMACIST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2024

Pharmacist (License #PS41842 in FL)

NPI Profile Active February 03, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location February 03, 2012

Registered at 1920 E 4TH AVE, HIALEAH, FL 330102714 (Tel: 3058059950)

📍
Updated Business Mailing Address February 03, 2012

Registered at 6715 NW 38 DRIVE, LAUDERHILL, FL 33319 (Tel: 9542970587)

👤
Provider Name / Credentials Updated February 03, 2012

Recorded as JOHN JOODA, PHARMACIST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2012

Pharmacist (License #PSA41842 in FL)

🟢
Initial NPI Registration & Enumeration February 03, 2012

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: 1164794335
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 03, 2012
Last Update: June 06, 2024
Sole Proprietor: No

Mailing Address

3606 Greenstone Pl

Valrico, FL 335966919

Phone: 1358892758

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.