PATRICE MICKI FEDDES (NPI# 1154413961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154413961 |
| Entity Type | Individual |
| Full Name | PATRICE MICKI FEDDES |
| Practice Address |
911 E 65th St Savannah GA 31405-4412 |
| Mailing Address |
106 Breckenridge Dr Springfield GA 31329-4226 |
| Practice Telephone | 9123550122 |
| Practice Fax Number | 9123556620 |
| Mailing Telephone | 9127546162 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 016920 | GA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | ST PHARMACY LICENSE | 016920 | 01 |
| Street Address |
911 E 65TH ST |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31405-4412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144321076 | Quickrx Drugs, Inc | Pharmacy | 911 E 65th St, Savannah, GA 31405-4412 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918441 | Nicole Marie Tetro | Anesthesiology | Candler Hospital, 5353 Reynolds St, Savannah, GA 31405 | 2020-10-08 |
| 1154983880 | Nickes Medical Supply, LLC. | Durable Medical Equipment & Medical Supplies | 6020 Halsey St, Savannah, GA 31405 | 2019-07-02 |
| 1215593025 | Lee Ann Ryle | Nurse Practitioner | 5223 Paulsen St., Savannah, GA 31405 | 2019-05-16 |
| 1942765334 | Raegan Epps | Behavior Technician | 613 Stephenson Ave Ste 205, Savannah, GA 31405 | 2019-02-10 |
| 1679050454 | Phenomenal Nursing Service | Registered Nurse | 604 South St., 604 South St, Savannah, GA 31405 | 2018-07-24 |
| 1275029472 | Chelsea Amanda Keedy | Pharmacist | 836 E. 65th St., Medical Arts #4, Savannah, GA 31405 | 2018-07-11 |
| 1265933840 | Dwc-p LLC | Dentist | 5209 Paulsen Street, Savannah, GA 31405 | 2018-02-28 |
| 1386153005 | Aaron Shaw | Hearing Instrument Specialist | 5501 Abercorn St Ste E, Savannah, GA 31405 | 2017-09-26 |
| 1063946028 | Elizabeth Bentley Bruhn-danello | Dietitian, Registered | 836 East 65th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-17 |
| 1396278230 | Theresa Lynn George | Health Educator | 836 East 65 Th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-07 |
| Find all providers in zip 31405 | ||||
| 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 |
|---|---|---|---|---|
| 1851920284 | Samantha Kerr | Pharmacist | 6709 Forest Park Dr, Savannah, GA 31406-2561 | 2020-04-07 |
| 1376017319 | Gregory Lloyd Alston | Pharmacist | 519 E Jones St, Savannah, GA 31401-4709 | 2019-01-13 |
| 1790258291 | Karisten Martin | Pharmacist | 105 Fawn Ln, Savannah, TN 38372-4999 | 2019-01-07 |
| 1922596642 | Steve Whitlow Cagle | Pharmacist | 25 Chickasaw Dr, Savannah, TN 38372-1152 | 2018-04-27 |
| 1891282950 | Sherry Ann Schoonover | Pharmacist | 175 Ji Bell Lane, Savannah, TN 38372 | 2018-04-15 |
| 1124540646 | Troy Heckman | Pharmacist | 205 S Us Highway 71, Savannah, MO 64485-1726 | 2017-07-17 |
| 1013453091 | Gregory Stajich | Pharmacist | 414 E Huntingdon St, Savannah, GA 31401-5719 | 2017-01-13 |
| 1053783662 | Jenny B Bartholomew | Pharmacist | 1975 E Montgomery Crossroad, Savannah, GA 31406 | 2015-10-22 |
| 1306267174 | Austin Brett Snyder | Pharmacist | 777 King George Blvd Unit 28, Savannah, GA 31419-8372 | 2013-12-22 |
| 1659708048 | Karissa Mizner Aktins | Pharmacist | 2 Saint Ives Dr, Savannah, GA 31419-8910 | 2013-10-01 |
| Find all providers in SAVANNAH | ||||
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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.