SHANIQUE TASHA ANN GRACE POWELL (NPI# 1316548399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316548399 |
| Entity Type | Individual |
| Full Name | SHANIQUE TASHA ANN GRACE POWELL |
| Practice Address |
5935 Memorial Dr Stone Mountain GA 30083-3429 |
| Mailing Address |
100 Highland View Pt Fayetteville GA 30215-8114 |
| Practice Telephone | 4042606149 |
| Mailing Telephone | 9542499570 |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH028919 | GA | Pharmacy Service Providers |
| Street Address |
5935 MEMORIAL DR |
| City | STONE MOUNTAIN |
| State | GA |
| Zip Code | 30083-3429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053755314 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 5935 Memorial Dr, Stone Mountain, GA 30083-3429 | 2013-04-17 |
| 1790385979 | Sarah Vo Dang | Pharmacist | 5935 Memorial Dr, Stone Mountain, GA 30083-3429 | 2020-10-28 |
| 1972103323 | Ashaben Patel | Pharmacist | 5935 Memorial Dr, Stone Mountain, GA 30083-3429 | 2020-10-27 |
| 1891395356 | Jeffery Felton | Pharmacist | 5935 Memorial Dr, Stone Mountain, GA 30083-3429 | 2020-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558830919 | Patriot Healthcare of Georgia, LLC | Family Medicine | 833 Hairston Road, Stone Mountain, GA 30083 | 2018-11-15 |
| 1710403431 | Trans Med Ems,llc | Ambulance | 4683 Redan Rd, Stone Mountain, GA 30083 | 2017-08-15 |
| 1447770482 | Dispatched Angels Home Care | In Home Supportive Care | 619 El Prado Court, Stone Mountain, GA 30083 | 2017-06-21 |
| 1396191086 | Suzanne Carter | Chore Provider | 1036 Allgood Rd, Stone Mountain, GA 30083 | 2016-05-11 |
| 1437520087 | Meaza Dada | Pharmacist | 1043 Thornwoode Lane, Stone Mountain, GA 30083 | 2015-10-08 |
| 1427436500 | Raeanne Elizabeth Gialanella | Occupational Therapist | 5839 Memorial Drive, Stone Mountain, GA 30083 | 2015-05-11 |
| 1265829824 | Latore Williams | Licensed Practical Nurse | 5300 Ridge Forest Drive, Stone Mountain, GA 30083 | 2015-04-22 |
| 1144625922 | Granville Theodore Freeman IIi | Counselor | 5000 Brittany Drive, Stone Mountain, GA 30083 | 2014-10-23 |
| 1588974208 | Terri R Collins | Counselor | 1020 Strap Hinge Trail, Stone Mountain, GA 30083 | 2010-10-15 |
| 1104064815 | Vistas Medical Center,pc | Clinic/Center | 5329 Memorial Dr Ste A, Stone Mountain, GEORGIA 30083 | 2009-02-03 |
| Find all providers in zip 30083 | ||||
| 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 |
|---|---|---|---|---|
| 1699253427 | Daniel Z Ymesghen | Pharmacist | 990 Carriage Trace Cir, Stone Mountain, GA 30087-4672 | 2018-08-02 |
| 1548776859 | Cierra Goodwin | Pharmacist | 638 Watson Bay, Stone Mountain, GA 30087-6122 | 2017-12-21 |
| 1437520087 | Meaza Dada | Pharmacist | 1043 Thornwoode Lane, Stone Mountain, GA 30083 | 2015-10-08 |
| 1992081574 | Phyllis Myra Grayson | Pharmacist | 790 Masters Dr, Stone Mountain, GA 30087-5286 | 2011-10-27 |
| 1386941722 | Violet Oluyinka Jonah | Pharmacist | 6402 Greenock Dr, Stone Mountain, GA 30087-6088 | 2011-02-22 |
| 1912226408 | Trina Lorraine Stewart | Pharmacist | 965 N Hairston Rd, Stone Mountain, GA 30083-2880 | 2010-05-23 |
| 1518292465 | Omotunde Oyewunmi Solaru | Pharmacist | 6049 Hitt Lake Trl, Stone Mountain, GA 30087-6526 | 2009-10-09 |
| 1952434425 | Melvin Douglas Owens | Pharmacist | 1824 Smokerise Smt, Stone Mountain, GA 30087-2324 | 2007-03-14 |
| 1114913209 | George Foster Baker Jr. | Pharmacist | 7236 Glen Cove Ln, Stone Mountain, GA 30087-6374 | 2005-09-23 |
| 1780284331 | Carmen Orizabal | Pharmacist | 1825 Rockbridge Rd, Stone Mountain, GA 30087-3335 | 2020-10-31 |
| Find all providers in STONE MOUNTAIN | ||||
| City | STONE MOUNTAIN |
| Zip Code | 30083 |
Please comment or provide details below to improve the information on SHANIQUE TASHA ANN GRACE POWELL.
| 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.