PEACHTREE PHARMACY SERVICES (NPI# 1023210044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023210044 |
| Entity Type | Organization |
| Organization Name | PEACHTREE PHARMACY SERVICES |
| Practice Address |
1018 South Main Str Hwy 129 Suite A Cleveland GA 30528 |
| Practice Telephone | 7068650367 |
| Practice Fax Number | 7068650931 |
| Mailing Telephone | 7068650367 |
| Mailing Fax Number | 7068650931 |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2007-11-06 |
| Authorized Official Name | MR. JAMES CHARLES HERNDON (PHARMACY MANAGER) |
| Authorized Official Telephone | 7068650367 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 014565 | GA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | PHARMACY LIC NUM | PHRE009156 | 01 |
| Street Address |
1018 SOUTH MAIN STR HWY 129 SUITE A |
| City | CLEVELAND |
| State | GA |
| Zip Code | 30528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780154914 | Syah, LLC | Internal Medicine | 142 Parkway Plaza, Cleveland, GA 30528 | 2018-11-30 |
| 1528478328 | Cleveland Drug Co Inc | Pharmacy | 184 West Kytle Street, Suite A, Cleveland, GA 30528 | 2014-05-01 |
| 1467738377 | Dr. Don Robbins Inc. | Optometrist | 514 West Kytle St., Cleveland, GA 30528 | 2011-10-25 |
| 1902080138 | Dr. Don Robbins Inc | Optometrist | 514 W Kytle St., Cleveland, GA 30528 | 2007-12-24 |
| 1013101617 | Abbastar, Inc | Chiropractor | 783 S. Main St., Suite 10, Cleveland, GA 30528 | 2007-08-28 |
| 1285767053 | The Hospital Authority of Habersham County | Family Medicine | 17 White Street, Cleveland, GA 30528 | 2007-03-13 |
| 1568591113 | Clare Stinespring | Physical Therapist | 34 Courthouse Square, Cleveland, GA 30528 | 2007-03-02 |
| 1811038359 | Joanne Holt Edmondson | Counselor | 42 North Avenue Suite 100, Cleveland, GA 30528 | 2007-02-09 |
| 1700931037 | Associates of Family Dentistry | Dentist | 549 South Main St, Cleveland, GA 30528 | 2007-01-25 |
| 1457406829 | Richard (ricky) D Wilbanks | Dentist | 56 Allison Dr, Cleveland, GA 30528 | 2007-01-24 |
| Find all providers in zip 30528 | ||||
| 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 |
|---|---|---|---|---|
| 1659972305 | Rosemary Jean Snow | Pharmacist | 5841 W 130th St, Cleveland, OH 44130-9308 | 2020-11-07 |
| 1811513377 | Anthony Wasielewski | Pharmacist | 1415 W 112th St Apt 23, Cleveland, OH 44102-2371 | 2020-06-21 |
| 1306495320 | Letha Rebecca Gilbert | Pharmacist | 240 Starlet Cir Ne, Cleveland, TN 37323-6416 | 2019-09-11 |
| 1295388205 | Mai Nguyen | Pharmacist | 10701 East Blvd # 119, Cleveland, OH 44106-1702 | 2019-07-18 |
| 1457847485 | Tammy Griffin | Pharmacist | 84 Cleveland Highway, Cleveland, GA 30528-7804 | 2018-07-02 |
| 1699282533 | Jignasa Bhavin Patel | Pharmacist | 5727 Avenwood Cir Nw, Cleveland, TN 37312-8235 | 2018-01-01 |
| 1497270425 | Peter A Wirkowski | Pharmacist | 1730 W 25th St Dept Of, Cleveland, OH 44113-3108 | 2017-08-10 |
| 1376079699 | Anna Vanbenschoten | Pharmacist | 300 25th St Ne, Apt 6034, Cleveland, TN 37311-3991 | 2017-05-05 |
| 1699215772 | Patricia Anne Caffrey | Pharmacist | 9885 Rockside Rd, Suite 157, Cleveland, OH 44125-6273 | 2017-03-08 |
| 1437517737 | Souhail Francis | Pharmacist | 13412 Sprecher Ave, Cleveland, OH 44135-5050 | 2016-02-02 |
| Find all providers in CLEVELAND | ||||
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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.