WALTER MONROE MASSEY III (NPI# 1225637499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225637499 |
Entity Type | Individual |
Full Name | WALTER MONROE MASSEY III |
Credential | RPH |
Practice Address |
1227 Rockbridge Rd Stone Mountain GA 30087-3064 |
Mailing Address |
2463 Wood Trail Ln Decatur GA 30033-4846 |
Practice Telephone | 7702251888 |
Practice Fax Number | 7702251889 |
Mailing Telephone | 4043149077 |
Enumeration Date | 2020-10-20 |
Last Update Date | 2020-10-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH014485 | GA | Pharmacy Service Providers |
Street Address |
1227 ROCKBRIDGE RD |
City | STONE MOUNTAIN |
State | GA |
Zip Code | 30087-3064 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326072133 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 1227 Rockbridge Rd, Stone Mountain, GA 30087-3064 | 2006-07-10 |
1073111894 | Hye Jin Kim | Pharmacist | 1227 Rockbridge Rd, Stone Mountain, GA 30087-3064 | 2020-10-14 |
1508406182 | Patrice M Walton | Nurse Practitioner | 1227 Rockbridge Rd, Stone Mountain, GA 30087-3064 | 2020-01-10 |
1952820177 | Lauren Settle | Nurse Practitioner | 1227 Rockbridge Rd, Stone Mountain, GA 30087-3064 | 2017-09-19 |
1427424928 | Cindy Hinton | Nurse Practitioner | 1227 Rockbridge Rd, Stone Mountain, GA 30087-3064 | 2015-08-19 |
1912399866 | Tlc of Georgia LLC | Nurse Practitioner | 1227 Rockbridge Rd, Stone Mountain, GA 30087-3064 | 2015-03-02 |
1447654058 | Independent Physical Therapy, LLC | Occupational Therapist | 1227 Rockbridge Rd, Ste 402, Stone Mountain, GA 30087-3064 | 2014-10-11 |
1578835070 | Emma L Smith | Pharmacist | 1227 Rockbridge Rd, Ste. 208-204, Stone Mountain, GA 30087-3064 | 2012-01-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477176394 | Optimal Choice Telehealth | General Practice | 1227 Rockbidge Rd Sw, Ste 208-354, Stone Mountain, GA 30087 | 2020-05-27 |
1245882943 | Lynell Williams | Counselor | 505 Lilburn-stone Mountain Road, Suite 235, Stone Mountain, GA 30087 | 2019-07-12 |
1003302688 | Mark Andrew Stevens | Physical Therapist | 1227 Rockbridge Rd Ste 402, Stone Mountain, GA 30087 | 2018-07-06 |
1154816825 | Tuan Minh Khong | Physician Assistant | 6301 Southland Rdg, Stone Mountain, GA 30087 | 2018-06-26 |
1215429881 | Stephanie Martin | Nurse Practitioner | 2720 S Rockbridge Rd, Stone Mountain, GA 30087 | 2018-05-30 |
1578979381 | Edmund Thomas Jr. | Dentist | 2536 Rockbridge Rd Ste 103, Stone Mountain, GA 30087 | 2014-07-02 |
1790027688 | Robert Fanning Eaves Jr. | General Practice | 5394 Leatherstocking Lane, Stone Mountain, GA 30087 | 2013-03-19 |
1609128917 | Mary Marlene Muse | Lactation Consultant, Non-RN | 510 Navarre Drive, Stone Mountain, GA 30087 | 2012-10-10 |
1457680704 | Cleo Evans | Counselor | 5638 Manassas Run, Stone Mountain, GA 30087 | 2009-12-16 |
1932348521 | Lawrence Randy Sheber | Dentist | 5500-a Lilburn Stone Mountain Road, Stone Mountain, GA 30087 | 2009-02-05 |
Find all providers in zip 30087 |
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 |
---|---|---|---|---|
1518565902 | Edward Edeh | Pharmacist | 1232 South Hairstoh Road, Stone Mountain, GA 30088 | 2020-10-16 |
1497389597 | Rx Healthcare Ltd | Pharmacist | 2136 W Park Ct Ste I, Stone Mountain, GA 30087-3528 | 2020-02-27 |
1336779313 | Andy Tran | Pharmacist | 1232 S Hairston Rd, Stone Mountain, GA 30088-2715 | 2020-01-18 |
1073111894 | Hye Jin Kim | Pharmacist | 1227 Rockbridge Rd, Stone Mountain, GA 30087-3064 | 2020-10-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306445747 | Hiep Hoang Do | Pharmacist | 801 Burns Estates Dr, Lilburn, GA 30047-3484 | 2020-10-17 |
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 |
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 |
1386277820 | Cristina Madalina Niculas | Pharmacist | Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 | 2020-02-12 |
Find all providers with the same taxonomy |
City | STONE MOUNTAIN |
Zip Code | 30087 |
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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.