AMANDA BOLES (NPI# 1205467255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205467255 |
| Entity Type | Individual |
| Full Name | AMANDA BOLES |
| Credential | PHARMACIST |
| Practice Address |
1720 Mars Hill Rd Nw Acworth GA 30101-7127 |
| Practice Telephone | 7704195495 |
| Mailing Telephone | 7704195495 |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2020-01-29 |
| 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 |
RPH022603 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144781311 | Amanda V Boles | Marriage & Family Therapist | 3359 Horse Camp Rd, Cottonwood, CA 96022-9246 | 2019-03-28 |
| 1285766931 | Amanda Paige Boles | Social Worker | 901 Martin St, Clarksville, TN 37040-4090 | 2007-03-09 |
| Street Address |
1720 MARS HILL RD NW |
| City | ACWORTH |
| State | GA |
| Zip Code | 30101-7127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518982297 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 1720 Mars Hill Rd Nw, Acworth, GA 30101-7127 | 2006-07-13 |
| 1265066187 | Rachel Lee Norman | Pharmacist | 1720 Mars Hill Rd Nw, Acworth, GA 30101-7127 | 2020-02-29 |
| 1477951184 | Premier Surgical Management LLC | Specialist/Technologist, Other | 1720 Mars Hill Rd Nw, 8-122, Acworth, GA 30101-7127 | 2014-12-11 |
| 1740303601 | Barbara A. Dalton, Md P.C. | Internal Medicine | 1720 Mars Hill Rd Nw, Suite #8-273, Acworth, GA 30101-7127 | 2007-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952931552 | A3j Incorporated | Registered Nurse | 3905 Cobb Pkwy Nw Ste 305, Acworth, GA 30101 | 2020-01-22 |
| 1043869852 | Sharron Leigh Lipscomb | Acupuncturist | 3661 Cedarcrest Rd Ste 320, Acworth, GA 30101 | 2019-09-05 |
| 1699322933 | Cowry Home Dialysis LLC | Durable Medical Equipment & Medical Supplies | 4450 Calibre Crossings Nw, Suite # 1122, Acworth, GA 30101 | 2019-08-21 |
| 1760979595 | Sandra Jeanetta Pugh | Counselor | 118 Clubhouse Crossing, Acworth, GA 30101 | 2018-04-17 |
| 1679926950 | Cindy Hatfield Fruits | Psychologist | 4839 N. Main Street, Acworth, GA 30101 | 2016-07-21 |
| 1396192563 | Philip Young | Specialist/Technologist | 4841 Lake Park Lane, Acworth, GA 30101 | 2016-05-18 |
| 1770960619 | Karen Fuller | Marriage & Family Therapist | 2487 Cedarcrest Rd Ste 722, Acworth, GA 30101 | 2015-04-29 |
| 1366830333 | Willard Hogan IIi | Physician Assistant | 1720 Mars Hill Rd Nw Ste 8-175, Acworth, GA 30101 | 2014-12-29 |
| 1386042083 | Sebastian Diaz Fischer | Chiropractor | 2639 Hickory Grove Rd, Suit 150, Ackworth, GA 30101 | 2014-12-11 |
| 1841699337 | J Chappell Md PC | Dermatology | 4450 Calibre Crossings, Suite 1208, Acworth, GA 30101 | 2014-08-20 |
| Find all providers in zip 30101 | ||||
| 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 |
|---|---|---|---|---|
| 1548868342 | Jackson Gathuru Ngugi | Pharmacist | 193 Anniversary Ln, Acworth, GA 30102-2045 | 2020-10-14 |
| 1538467998 | Julie Shell | Pharmacist | 3576 Pinehill Cir, Acworth, GA 30101-5142 | 2011-03-09 |
| 1891994265 | Darra M Edwards | Pharmacist | 2213 Thicket Ct Nw, Acworth, GA 30102-7955 | 2007-07-16 |
| 1265066187 | Rachel Lee Norman | Pharmacist | 1720 Mars Hill Rd Nw, Acworth, GA 30101-7127 | 2020-02-29 |
| 1932730710 | Tahara Frazier | Pharmacist | 3330 Cobb Pkwy Nw, Acworth, GA 30101-8320 | 2020-01-30 |
| 1306120159 | Amy A Lott | Pharmacist | 1762 Mars Hill Rd Nw, Acworth, GA 30101-8091 | 2011-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445747 | Hiep Hoang Do | Pharmacist | 801 Burns Estates Dr, Lilburn, GA 30047-3484 | 2020-10-17 |
| 1518565902 | Edward Edeh | Pharmacist | 1232 South Hairstoh Road, Stone Mountain, GA 30088 | 2020-10-16 |
| 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.