Maria Gina Cruz, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS43413 Issued in FL

Practice address

1402 Ohio Ave
Lynn Haven, FL 32444-3743

Phone

(850) 265-0499

NPI assigned

Sep 25, 2011

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Lynn Haven, FL
  • NPI 1700891942
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

• Maria Gina Olavario Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 26, 2011.

{
    "created_epoch": "1316908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316995200000",
    "number": "1467735563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4918 PARK ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324046646",
            "telephone_number": "213-880-8652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 OHIO AVE",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324443743",
            "telephone_number": "850-265-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "MARIA GINA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-25",
        "last_updated": "2011-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS43413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA GINA",
            "last_name": "OLAVARIO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Brian R Davison, PTA
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• Lori L Deaton, PTA

• All providers in Lynn Haven, FL
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.