MRS. ADELE DIANE DENNARD (NPI# 1215078969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215078969 |
| Entity Type | Individual |
| Full Name | MRS. ADELE DIANE DENNARD |
| Credential | RPH |
| Practice Address |
119 2nd St N Soperton GA 30457-1177 |
| Mailing Address |
1009 Florida Ave Soperton GA 30457-1722 |
| Practice Telephone | 9125294545 |
| Practice Fax Number | 9125296161 |
| Mailing Telephone | 9125295252 |
| Mailing Fax Number | 9125296161 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH016463 | GA | Pharmacy Service Providers |
| Street Address |
119 2ND ST N |
| City | SOPERTON |
| State | GA |
| Zip Code | 30457-1177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952441180 | Richard Marion Dennard | Pharmacist | 119 2nd St N, Soperton, GA 30457-1177 | 2007-02-07 |
| 1316088040 | Blakely Sutton Dennard | Pharmacist | 119 2nd St N, Soperton, GA 30457-1177 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144431479 | David Lavon Moore | General Practice | 4101 Cascade Circle, Soperton, GA 30457 | 2007-05-25 |
| 1588654388 | Emanuel County Hospital Authority | Clinic/Center | 601 Third St, Soperton, GA 30457 | 2005-10-24 |
| 1942303557 | Ernest Wesley Crowe | Pharmacist | 112 W Main St, Soperton Pharmacy Inc, Soperton, GA 30457 | 2006-09-07 |
| 1689707150 | Community Service Board of Middle Georgia | Community/Behavioral Health | 417 Louisiana Ave E, Soperton, GA 30457-1126 | 2007-03-14 |
| 1457467219 | Joel Scott Bray | Family Medicine | 601 3rd St N, Soperton, GA 30457-1160 | 2006-08-22 |
| 1184738429 | John Louis Pournelle Jr. | Dentist | 607 3rd St N, Soperton, GA 30457-1160 | 2006-08-17 |
| 1558339838 | Soperton Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 112 Main St W, Soperton, GA 30457-1169 | 2006-03-10 |
| 1851441117 | Coastal Care Services, Inc. | Assisted Living Facility | 105 College St N, Soperton, GA 30457-1207 | 2007-01-11 |
| 1437238169 | Higgs Ambulance Service Inc | Ambulance | 507 Eastman Rd, 507 Eastman Road, Soperton, GA 30457-1426 | 2006-11-03 |
| 1548330756 | Treutlen County Board of Education | Local Education Agency (LEA) | 202 3rd St S, Soperton, GA 30457-1570 | 2006-11-08 |
| Find all providers in zip 30457 | ||||
| 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 |
|---|---|---|---|---|
| 1881043800 | Kathryn Lassiter | Pharmacist | 4269 W Main St, Soperton, GA 30457-2329 | 2016-06-09 |
| 1952441180 | Richard Marion Dennard | Pharmacist | 119 2nd St N, Soperton, GA 30457-1177 | 2007-02-07 |
| 1932676152 | Tonya Adcock | Pharmacist | 804 Second St, Soperton, GA 30457-2402 | 2018-10-25 |
| 1316088040 | Blakely Sutton Dennard | Pharmacist | 119 2nd St N, Soperton, GA 30457-1177 | 2007-02-08 |
| 1942303557 | Ernest Wesley Crowe | Pharmacist | 112 W Main St, Soperton Pharmacy Inc, Soperton, GA 30457 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538103 | Agatha Nonye Okoye | Pharmacist | 5300 Bridle Point Pkwy, Snellville, GA 30039-2715 | 2020-11-05 |
| 1861093155 | Mohamed J Bah | Pharmacist | 2965 Olivine Dr, Dacula, GA 30019-7646 | 2020-11-04 |
| 1841891249 | Himanshu Haridutt Desai | Pharmacist | 30983 Us-441 S, Commerce, GA 30529 | 2020-11-03 |
| 1720689219 | Olubunmi Adeniyi | Pharmacist | 524 Serene Waters Trl, Jonesboro, GA 30236-5495 | 2020-11-03 |
| 1174124572 | Jessica Rodriguez New | Pharmacist | 2892 Browns Bridge Road, Gainesville, GA 30504 | 2020-11-03 |
| 1063013613 | John Ellis Iv | Pharmacist | 135 Rudders Xing, Newnan, GA 30263-7032 | 2020-11-02 |
| 1992306591 | Connie Deverell Tam | Pharmacist | Walmart Pharmacy #1658, 2205 Harrison Rd, Thomson, GA 30824 | 2020-11-02 |
| 1922608520 | Sylvia Adams | Pharmacist | 1173 W Briar Gate Ct, Riverdale, GA 30296-3378 | 2020-11-01 |
| 1417557000 | Birtukan Tsegaye | Pharmacist | 2715 Henderson Rd, Tucker, GA 30084-2432 | 2020-10-31 |
| 1528668175 | Vishwa Patel | Pharmacist | 3604 Bellhaven Dr, Valdosta, GA 31605-1210 | 2020-10-31 |
| 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.