KOMAL PATEL (NPI# 1053973503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053973503 |
| Entity Type | Individual |
| Full Name | KOMAL PATEL |
| Credential | PHARMD |
| Practice Address |
3050 Five Forks Trickum Rd Sw Lilburn GA 30047-1810 |
| Mailing Address |
1015 Water Shine Way Snellville GA 30078-7781 |
| Practice Telephone | 7709853720 |
| Mailing Telephone | 6782279619 |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2020-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
019951 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483765 | Komal Patel | Physical Therapist | 24 Rovna Ct, Monroe, NY 10950-7483 | 2020-10-02 |
| 1265063549 | Komal P Patel | Student in an Organized Health Care Education/Training Program | 628 Joppa Rd, Leander, TX 78641-8402 | 2020-01-27 |
| 1205473337 | Komal Chinmay Patel | Pharmacist | 1320 Kendra Ln, Upland, CA 91784-9270 | 2019-12-09 |
| 1164077327 | Komal Patel | Dentist | 6033 De Zavala Rd Apt 1425, San Antonio, TX 78249-2255 | 2019-08-05 |
| 1891282000 | Komal M Patel | Student in an Organized Health Care Education/Training Program | 31 Cameron Rd, Huntingdon Valley, PA 19006-1401 | 2018-04-13 |
| 1508272535 | Komal G. Patel | Physical Medicine & Rehabilitation | 2150 Pennsylvania Ave Nw Fl 7, Washington, DC 20037-3201 | 2014-07-10 |
| 1366860306 | Komal Patel | Pharmacist | 1533 Parker Canyon Rd, Walnut, CA 91789-5334 | 2014-04-06 |
| 1699046508 | Komal A Patel | Physical Therapist | 1013 Rosa Ave, Sunnyvale, CA 94086-8749 | 2012-01-24 |
| 1396052882 | Komal H. Patel | Pharmacist | 5 Wister Pl, Matawan, NJ 07747-1824 | 2010-09-07 |
| 1578879839 | Komal Manilal Patel | Optometrist | 3709 Plainfield Ave Ne, Grand Rapids, MI 49525-2403 | 2010-08-25 |
| Street Address |
3050 FIVE FORKS TRICKUM RD SW |
| City | LILBURN |
| State | GA |
| Zip Code | 30047-1810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619992393 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 3050 Five Forks Trickum Rd Sw, Lilburn, GA 30047-1810 | 2006-07-13 |
| 1649878257 | Trinh Tu Tran | Pharmacist | 3050 Five Forks Trickum Rd Sw, Lilburn, GA 30047-1810 | 2020-10-15 |
| 1518581651 | Christopher Blanott | Pharmacist | 3050 Five Forks Trickum Rd Sw, Lilburn, GA 30047-1810 | 2020-06-04 |
| 1437506664 | Transcend Therapy | Community/Behavioral Health | 3050 Five Forks Trickum Rd Sw, Suite D-531, Lilburn, GA 30047-1810 | 2016-05-18 |
| 1023207701 | Wood Eyecare, P.C. | Clinic/Center | 3050 Five Forks Trickum Rd Sw, Suite 112, Lilburn, GA 30047-1807 | 2007-10-18 |
| 1740409499 | Susan S. Wood | Optometrist | 3050 Five Forks Trickum Rd Sw, Suite 112, Lilburn, GA 30047-1807 | 2007-04-24 |
| 1750455051 | Atusha Patel | Dentist | 3050 Five Forks Trickum Rd Sw, #h, Lilburn, GA 30047-1807 | 2006-11-20 |
| 1932283199 | James M. Wood | Optometrist | 3050 Five Forks Trickum Rd Sw, Suite 112, Lilburn, GA 30047-1807 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750861217 | Latrina S Walden | Nurse Practitioner | 887 Ryan Lane, Lilburn, GA 30047 | 2018-08-15 |
| 1811483928 | Olivia Oyegunle | Optometrist | 4153 Lawrenceville Hwy Nw Ste 5, Lilburn, GA 30047 | 2018-07-02 |
| 1932619285 | Mpm Creative, LLC | Speech-Language Pathologist | 1560 Hewatt Rd, Lilburn, GA 30047 | 2017-10-01 |
| 1528515186 | Smith Dental Care of Lilburn, Inc. | Dentist | 3100 Five Forks Trickham Rd Suite 201, Lilburn, GA 30047 | 2016-09-01 |
| 1891143244 | Choices Behavioral Alternatives | Counselor | 4037 Darling Court, Suite B, Lilburn, GA 30047 | 2016-05-26 |
| 1235595687 | Georgia Dental Associates | Clinic/Center | 3100 Five Forks Trickum Road Suite 201, Lilburn, GA 30047 | 2016-01-14 |
| 1912382144 | Sangeetha Asokan | Dentist | 609, Beaver Ruin Road, Tebo Dental for Kids, Lilburn, GA 30047 | 2015-07-29 |
| 1467836403 | Pamela Neal | Registered Nurse | 3315 Landingview Ct, Lilburn, GA 30047 | 2015-07-18 |
| 1699172452 | Josie Kou, Kulah Curran | Registered Nurse | 3708 Tamer Ln, Lilburn, GA 30047 | 2014-11-21 |
| 1184039380 | Cheryl Lee | Chiropractor | 5014 Stone Mountain Hwy, Suite C, Lilburn, GA 30047 | 2014-06-25 |
| Find all providers in zip 30047 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445747 | Hiep Hoang Do | Pharmacist | 801 Burns Estates Dr, Lilburn, GA 30047-3484 | 2020-10-17 |
| 1134751571 | Joseph Edward Witek Jr. | Pharmacist | 1173 Melton Dr Sw, Lilburn, GA 30047-1981 | 2020-02-04 |
| 1255962346 | Katherine E Kwon | Pharmacist | 4155 Highway 29 Nw, Lilburn, GA 30047-1500 | 2020-01-28 |
| 1518581651 | Christopher Blanott | Pharmacist | 3050 Five Forks Trickum Rd Sw, Lilburn, GA 30047-1810 | 2020-06-04 |
| 1134750227 | Rebecca Ayaw Alabi | Pharmacist | 4155 Highway 29 Nw, Lilburn, GA 30047-1500 | 2020-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565902 | Edward Edeh | Pharmacist | 1232 South Hairstoh Road, Stone Mountain, GA 30088 | 2020-10-16 |
| 1548868342 | Jackson Gathuru Ngugi | Pharmacist | 193 Anniversary Ln, Acworth, GA 30102-2045 | 2020-10-14 |
| 1568086494 | Lynn Berner Marshall | Pharmacist | 3823 Club Forest Dr, Peachtree Corners, GA 30092-2369 | 2020-06-06 |
| 1295357325 | Rhonda Ireland | Pharmacist | 125 Main Street Marketplace, Cartersville, GA 30120 | 2020-05-12 |
| 1073132676 | Khushboo S Rhodes | Pharmacist | 3101 Roswell Rd Ste 132, Marietta, GA 30062-5523 | 2020-04-14 |
| 1194354647 | Deanna W Mcewen | Pharmacist | 1720 Epps Bridge Road, Athens, GA 30606-6132 | 2020-04-06 |
| 1104452663 | Latrena Solomon | Pharmacist | 1750 Highway 138 E, Stockbridge, GA 30281-2810 | 2020-03-17 |
| 1497389597 | Rx Healthcare Ltd | Pharmacist | 2136 W Park Ct Ste I, Stone Mountain, GA 30087-3528 | 2020-02-27 |
| 1972136273 | Shannon Sulik | Pharmacist | 774 Highway 96, Bonaire, GA 31005-3300 | 2020-02-15 |
| 1497388904 | Ben Allen Sanders | Pharmacist | Kroger Pharmacy 627, 5550 Bethelview Road, Cumming, GA 30040 | 2020-02-13 |
| Find all providers with the same taxonomy | ||||
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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.