MR. JOSEPH CLYDE BROGDON (NPI# 1336170935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336170935 |
| Entity Type | Individual |
| Full Name | MR. JOSEPH CLYDE BROGDON |
| Credential | RPH |
| Practice Address |
110 E Main St Lakeland GA 31635-1116 |
| Practice Telephone | 2294823677 |
| Practice Fax Number | 2294822072 |
| Mailing Telephone | 2294823677 |
| Mailing Fax Number | 2294822072 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 10831 | GA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | PHARMACY LICENSE # | 10831 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083735286 | Joseph Bert Brogdon | Dentist | 3920 Dayton Blvd, Chattanooga, TN 37415-2716 | 2007-04-03 |
| 1699712109 | Joseph Milton Brogdon | Psychiatry & Neurology | 389 Mulberry St, Suite 200, Macon, GA 31201-7914 | 2006-06-01 |
| Street Address |
110 E MAIN ST |
| City | LAKELAND |
| State | GA |
| Zip Code | 31635-1116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730252479 | South Georgia Csb | Clinic/Center | 321 W Brantley, Lakeland, GA 31635 | 2006-11-17 |
| 1427128545 | Lanier County Board Sbs | Local Education Agency (LEA) | Hwy 221 South, Lakeland, GA 31635 | 2006-11-08 |
| 1073662805 | Deep South Ambulance Service, Inc | Ambulance | 37 Peachtree Street, Lakeland, GA 31635-0067 | 2007-01-10 |
| 1558318337 | Lanier Health Services, Inc | Nursing Facility/Intermediate Care Facility | 852 W Thigpen Ave, Lakeland, GA 31635-1006 | 2006-05-27 |
| 1093921629 | Lanier County Ambulance Service | Ambulance | 116 W Thigpen Ave, Lakeland, GA 31635-1006 | 2007-05-14 |
| 1649284001 | James A Harrell | Emergency Medicine | 852 W Thigpen Ave, Lakeland, GA 31635-1006 | 2006-07-28 |
| 1023060084 | Lanier Health Services, Inc. | Medicare Defined Swing Bed Unit | 116 W Thigpen Ave, Lakeland, GA 31635-1006 | 2006-05-17 |
| 1558775411 | Kristen Ley | Nurse Practitioner | 106 W Thigpen Ave, Lakeland, GA 31635-1011 | 2014-06-18 |
| 1194141549 | Hospital Authority of Valdosta and Lowndes County, Georgia | Nursing Facility/Intermediate Care Facility | 120 W Thigpen Ave, Lakeland, GA 31635-1011 | 2014-03-10 |
| 1144270711 | Lanier Health Services, Inc. | General Acute Care Hospital | 116 W Thigpen Ave, Lakeland, GA 31635-1011 | 2006-05-12 |
| Find all providers in zip 31635 | ||||
| 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 |
|---|---|---|---|---|
| 1497384085 | Rodjsyne Jones | Pharmacist | 350 Eagles Landing Dr, Lakeland, FL 33810-2999 | 2020-04-06 |
| 1487293445 | Pankaj D Patel | Pharmacist | 3656 Frentress Dr, Lakeland, FL 33812-1206 | 2019-12-22 |
| 1598324436 | Wesley Zane Hamlin | Pharmacist | 1324 Lakeland Hills Blvd # 203, Lakeland, FL 33805-4543 | 2019-06-12 |
| 1518422971 | Prime Therapeutic Consulting & Services, LLC | Pharmacist | 120 W Hickory St, Lakeland, FL 33815-4715 | 2019-02-09 |
| 1982103255 | Robert James Fournier | Pharmacist | 2025 Sylvester Rd Unit J2, Lakeland, FL 33803-3577 | 2018-02-01 |
| 1952846685 | Tara Talisea Guyher | Pharmacist | 2576 Boots Rd, Lakeland, FL 33810-5158 | 2017-01-04 |
| 1003288556 | Casey Ray Hanks | Pharmacist | 12360 Lakeland Acres Rd, Lakeland, FL 33810-1016 | 2015-10-23 |
| 1528430238 | Roshan Nathoo | Pharmacist | 7387 Us Highway 98 N, Lakeland, FL 33809-2102 | 2015-10-21 |
| 1760853832 | Cheryl Adele Minozzi | Pharmacist | 5524 Scott View Ln, Lakeland, FL 33813-3064 | 2015-10-14 |
| 1275912073 | Brent Williams | Pharmacist | 2016 Sophia Pl, Lakeland, FL 33811-2684 | 2015-05-26 |
| Find all providers in LAKELAND | ||||
Please comment or provide details below to improve the information on MR. JOSEPH CLYDE BROGDON.
| 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.