DR. SUSAN CHRISTINE FAGAN


Address: Hm 1220 1120 15th Street, University of Georgia College of Pharmacy, Augusta, GA 30912
Phone: 7067214915

DR. SUSAN CHRISTINE FAGAN (NPI# 1316276033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316276033
Entity Type Individual
Full Name DR. SUSAN CHRISTINE FAGAN
Credential PHARM.D.
Practice Address Hm 1220 1120 15th Street
University of Georgia College of Pharmacy
Augusta
GA 30912
Mailing Address 107 Blackhaw Dr
North Augusta
SC 29860-9218
Practice Telephone 7067214915
Practice Fax Number 7067213994
Mailing Telephone 7067214915
Mailing Fax Number 7067213994
Enumeration Date 2009-12-08
Last Update Date 2009-12-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH020270 GA Pharmacy Service Providers

Other Providers SUSAN FAGAN

NPI Name Taxonomy Address Enumeration
1699110536 Susan C. Fagan Registered Nurse 1040 Chevelle Dr, Baton Rouge, LA 70806-7805 2013-05-06
1851594899 Susan Michelle Fagan Social Worker 185 Center Street Suite B, Wallingford, CT 06492 2007-06-07
1891858742 Susan Millie Fagan Dentist 5281 Lapeer Road, Kimball, MI 48074 2006-12-19
1922078351 Susan Fagan Physical Therapist 1 Emily Way, West Hartford, CT 06107-3136 2006-01-26
1972963684 Susan Fagan Behavioral Analyst 6 Southside Rd, Danvers, MA 01923-1409 2016-02-24
1568781086 Susan Fagan Occupational Therapist 22 Masonic Ave, Wallingford, CT 06492-3048 2010-05-24
1043468556 Susan Marie Fagan Counselor 12125 Woodcrest Executive Dr, Suite 110, Saint Louis, MO 63141-5001 2008-09-09

Office Location

Street Address HM 1220 1120 15TH STREET
UNIVERSITY OF GEORGIA COLLEGE OF PHARMACY
City AUGUSTA
State GA
Zip Code 30912

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548885940 Hannah Gullickson Folsom Family Medicine 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 2020-06-11
1487278909 Robert Kennedy Internal Medicine Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 2020-06-01
1952968737 Kayla M. Lasota Pediatrics 11230 115th St Ae3042, Augusta, GA 30912 2019-05-28
1003379280 Kayla Cox Internal Medicine 1120 15th St Bi5070, Augusta, GA 30912 2019-04-13
1619435740 Justin Ray Mackert Student in an Organized Health Care Education/Training Program Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 2019-03-07
1417444167 Victor Celis Dentist John Wesley Gilbert Dr, Augusta, GA 30912 2018-04-18
1487157921 Julie Ann Matsen Student in an Organized Health Care Education/Training Program 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 2018-03-12
1497287031 Luke Yuung-jier Chang Ophthalmology 1120 15th St # Ba2720, Augusta, GA 30912 2017-04-02
1821537622 Lashawn Kay Boone Nurse Practitioner 1445 Harper St, Augusta, GA 30912 2017-02-14
1134675564 Arnab Saha Internal Medicine 1120 15 Th St., Augusta, GA 30912 2016-08-26
Find all providers in zip 30912

Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609491281 Melinda Kezer Drylie Pharmacist 1 Freedom Way, Augusta, GA 30904-6258 2020-06-10
1669009619 Dalton Nuse Pharmacist 1510 Ohio St, Augusta, KS 67010-2189 2020-03-26
1740787472 Katherine Donnan Pharmacist 1 Freedom Way, Augusta, GA 30904-6258 2018-04-09
1396244034 Reid Wallace Griffin Pharmacist 1537 Walton Way, Augusta, GA 30904-3764 2018-02-08
1619499910 Chantheara Long Pharmacist 1 Va Ctr, Augusta, ME 04330-6719 2017-07-09
1457726663 Sudharsan Periyasamy Thandavan Pharmacist 2744 Washington Rd, Augusta, GA 30909-2218 2015-12-14
1902274921 Anishka Walker Pharmacist 950 15th St, Charlie Norwood Vamc - Pharmacy Department, Augusta, GA 30901-2608 2015-09-08
1073992020 Kathleen Cleary Pharmacist 1 Va Ctr, Augusta, ME 04330-6719 2015-05-22
1477946531 Amber Ladak Pharmacist 1120 15th St, Augusta, GA 30912-0004 2015-03-13
1699165548 Tim Robinson Pharmacist 1120 15th St, Bi-2101, Augusta, GA 30912-0004 2015-01-30
Find all providers in AUGUSTA

Competitor

Search similar providers

City AUGUSTA
Zip Code 30912

Improve Information

Please comment or provide details below to improve the information on DR. SUSAN CHRISTINE FAGAN.

Dataset Information

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.

Trending Searches