DECOLA JOHNSON (NPI# 1053717074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053717074 |
Entity Type | Individual |
Full Name | DECOLA JOHNSON |
Credential | PHARM.D. |
Practice Address |
835 Martin Luther King Jr Dr Nw Atlanta GA 30314-3644 |
Mailing Address |
1925 Monroe Dr Ne Apt 1463 Atlanta GA 30324-7834 |
Practice Telephone | 4044602706 |
Mailing Telephone | 4433737305 |
Enumeration Date | 2014-11-18 |
Last Update Date | 2014-11-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 183500000X | Pharmacist | RPH027494 | GA | Pharmacy Service Providers |
Y | 183500000X | Pharmacist | 21960 | MD | Pharmacy Service Providers |
Street Address |
835 MARTIN LUTHER KING JR DR NW |
City | ATLANTA |
State | GA |
Zip Code | 30314-3644 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689918468 | Wal-mart Stores East Lp | Pharmacy | 835 Martin Luther King Jr Dr Nw, Atlanta, GA 30314-3644 | 2012-11-19 |
1093316119 | Quintin Buford Jr. | Pharmacist | 835 Martin Luther King Jr Dr Nw, Atlanta, GA 30314-3644 | 2020-11-04 |
1457839268 | Christy Nicole Hunt | Pharmacist | 835 Martin Luther King Jr Dr Nw, Atlanta, GA 30314-3644 | 2018-08-02 |
1902274947 | Esha Patel | Pharmacist | 835 Martin Luther King Jr Dr Nw, Atlanta, GA 30314-3644 | 2015-09-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144794959 | Melonie Yeats | Social Worker | 225 James P Brawley Dr Nw, Atlanta, GA 30314 | 2019-01-15 |
1255843520 | Radiant Smiles Dental of Chamblee LLC | Clinic/Center | 4306 N Peachtree Road, Chamblee, GA 30314 | 2017-10-26 |
1275080608 | Nadya Walker | Occupational Therapy Assistant | 40 Griffin St, Atlanta, GA 30314 | 2016-09-01 |
1326415316 | Marion Elaine Hargett | Behavioral Analyst | 502 Pryor Street, Atlanta, GA 30314 | 2015-08-26 |
1295096204 | Ave Maria Marshall | Social Worker | 350 Spelman Lane, 30314, Atlanta, GA 30314 | 2012-06-06 |
1700164217 | Marva A Campbell | Registered Nurse | 565 Greensferry Ave Sw Apt 1703, Atlanta, GA 30314 | 2011-08-01 |
1699929737 | Mordena T Sullen | Dentist | 1099 Martin Luther King Jr., Drive, Atlanta, GA 30314 | 2008-11-14 |
1245377605 | Neighborhood Union Health Center | Public Health or Welfare | 186 Sunset Avenue Nw, Atlanta, GA 30314 | 2007-02-01 |
1861564460 | Margaret E Gamble | Registered Nurse | Sunset Dr, Neighborhood Union Health Center, Atlanta, GA 30314 | 2006-11-15 |
1457423048 | Para R Leffall | Nurse Practitioner | 186 Sunset Ave, Atlanta, GA 30314 | 2006-11-15 |
Find all providers in zip 30314 |
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 |
---|---|---|---|---|
1093312464 | Gloria Rinomhota | Pharmacist | 25 Peachtree St Sw # Se, Atlanta, GA 30303-3140 | 2020-10-07 |
1760098404 | Lisa Ann Mcwhorter Loux | Pharmacist | 57 Executive Park S Ste 400, Atlanta, GA 30329-2249 | 2020-09-18 |
1073124178 | Erin Marriott | Pharmacist | 171 17th St Nw Ste 1400, Atlanta, GA 30363-1069 | 2020-08-12 |
1447869797 | Caitlyn Sue Elmes | Pharmacist | 756 Bellemeade Ave Nw, Atlanta, GA 30318-3104 | 2020-07-23 |
1700404241 | Hoang Anh Rebecca Phan | Pharmacist | 1160 Johnson Fy Rd Ne Unit 1475, Atlanta, GA 30342-2356 | 2020-07-10 |
1073130597 | Tri Minh Phan | Pharmacist | 755 Mount Vernon Hwy Ne Ste 450, Atlanta, GA 30328-4292 | 2020-06-30 |
1649894411 | Lisa Aquillano | Pharmacist | 12 Executive Park Dr Ne Ste 556, Atlanta, GA 30329-2206 | 2020-06-08 |
1417570565 | Raidel Redondo | Pharmacist | 1100 Hammond Dr Ste 500, Atlanta, GA 30328-8191 | 2020-05-23 |
1720601255 | Dawn Lieber Sasine | Pharmacist | 164 W Wieuca Rd Ne Ste 7, Atlanta, GA 30342-3231 | 2020-05-19 |
1821617119 | Erin Jessica Searles | Pharmacist | 424 Decatur St Se Ste 100, Atlanta, GA 30312-1848 | 2020-04-16 |
Find all providers in ATLANTA |
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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.