DR. KETAYOUN DAVARI (NPI# 1356342042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356342042 |
| Entity Type | Individual |
| Full Name | DR. KETAYOUN DAVARI |
| Credential | PHARM.D. |
| Practice Address |
1670 Clairmont Rd Decatur GA 30033-4004 |
| Mailing Address |
12130 Leeward Walk Cir Alpharetta GA 30005-7478 |
| Practice Telephone | 4043216111 |
| Practice Fax Number | 4044172936 |
| Mailing Telephone | 6785252019 |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
RPH019071 | GA | Pharmacy Service Providers |
| Street Address |
1670 CLAIRMONT RD |
| City | DECATUR |
| State | GA |
| Zip Code | 30033-4004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780073 | Mojisola Mary Bakare | Registered Nurse | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2020-11-03 |
| 1346849189 | Jessica Astrid George | Social Worker | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2020-10-22 |
| 1841807591 | Mallorie Gayle Carroll | Psychologist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2020-09-28 |
| 1164036570 | Rachel Heatherly | Psychologist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2020-09-02 |
| 1679186670 | Martale Jerrell Davis | Psychologist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2020-08-28 |
| 1619580206 | Rosetta Yvette Delancy | Social Worker | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2020-08-25 |
| 1760095186 | Alaisha Delane Wellons | Social Worker | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2020-08-25 |
| 1568074797 | Hannah F Martyn | Psychologist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2020-08-19 |
| 1285245308 | Meera Gupta | Pharmacist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2020-08-12 |
| 1306456652 | Mary Kalyn Davis | Pharmacist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2020-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922613785 | Healing Minds, Helping Hearts, LLC | Social Worker | 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 | 2020-09-09 |
| 1700412517 | Delana Finney | Orthotist | Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 | 2020-03-13 |
| 1194389353 | Katherine Serafen | Physician Assistant | 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 | 2019-04-23 |
| 1194290973 | Suzanne Johnson | Psychologist | Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 | 2018-10-09 |
| 1245705334 | Mcleod Counseling Services, LLC | Clinic/Center | 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 | 2018-10-04 |
| 1225514797 | Erkin Mirkhatovich Turganov | Pharmacist | 2951 Cedar Brook Dr, Decatur, GA 30033 | 2018-07-17 |
| 1356834972 | Sharlencia Lord | Nurse Practitioner | 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 | 2018-06-08 |
| 1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
| 1780181370 | Ryan Patton | Orthopaedic Surgery | 2723 Hollywood Dr, Decatur, GA 30033 | 2018-04-10 |
| 1437669751 | Sholanda D Hooper | Nurse Practitioner | 1601 Clairmont Rd, Decatur, GA 30033 | 2017-10-02 |
| Find all providers in zip 30033 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023013992 | Heidi Floyd Cantrell | Pharmacist | 1670 Clairmont Rd - 119, Decatur, GA 30033 | 2005-06-16 |
| 1356690937 | Vian Kim Nguyen | Pharmacist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2012-08-29 |
| 1376820043 | Lasonya Renise Ford | Pharmacist | 1670 Clairmont Rd, Dept 119, Decatur, GA 30033-4004 | 2011-11-09 |
| 1154586154 | Kimberly D Martin | Pharmacist | 1670 Clairmont Rd, Atlanta Va Medical Center (119), Decatur, GA 30033-4004 | 2008-07-20 |
| 1962691477 | Katheryn Alexis Pruitt | Pharmacist | 1670 Clairmont Rd, Department 119 (pharmacy), Decatur, GA 30033-4004 | 2007-10-20 |
| 1841485075 | Sharita Golphin Reese | Pharmacist | 1670 Clairmont Rd, Dept of Pharmacy, Decatur, GA 30033-4004 | 2007-09-11 |
| 1508968595 | Jessica Lauren Hughes | Pharmacist | 1670 Clairmont Rd, Route 119, Decatur, GA 30033-4004 | 2006-09-01 |
| 1295846004 | Demetria Curtis Gaines | Pharmacist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2006-08-31 |
| 1871512384 | Allison Torbert Fox | Pharmacist | 1670 Clairmont Rd, Pharmacy Dept. (119), Decatur, GA 30033-4004 | 2006-07-18 |
| 1457381972 | Sybelle Blakey Scott | Pharmacist | 1670 Clairmont Rd, 119, Decatur, GA 30033-4004 | 2006-07-03 |
| Find all providers in DECATUR | ||||
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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.