MARJAN FOROUZAN (NPI# 1366901969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366901969 |
| Entity Type | Individual |
| Full Name | MARJAN FOROUZAN |
| Credential | PHARMD |
| Practice Address |
450 Northside Cherokee Blvd Canton GA 30115-8015 |
| Practice Telephone | 7702245400 |
| Mailing Telephone | 7702245400 |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2019-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH026151 | GA | Pharmacy Service Providers |
| Street Address |
450 NORTHSIDE CHEROKEE BLVD |
| City | CANTON |
| State | GA |
| Zip Code | 30115-8015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295732600 | Paul J Hyler | Internal Medicine | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2005-06-30 |
| 1790390706 | Bradley Louis Mccoul | Pharmacist | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2020-09-15 |
| 1164035747 | Candice Caroline Bramlett | Pharmacist | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2020-08-25 |
| 1336751494 | Kalum Leiba | Anesthesiologist Assistant | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2020-08-20 |
| 1093339533 | Tara Talbott Oberman | Pharmacist | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2020-06-01 |
| 1568085157 | Ross W Devantier | Specialist/Technologist, Other | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2020-05-19 |
| 1427679034 | Joseph Liverman | Specialist/Technologist, Other | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2020-05-05 |
| 1518595503 | Erica D Burns | Pharmacist | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2020-03-27 |
| 1093346066 | Emily Beecher | Pharmacist | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2020-01-29 |
| 1497393268 | Stephanie Knight Ellis | Pharmacist | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2019-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497364806 | Amanda Arbogast | Speech-Language Pathologist | 610 Royal Crest Court, Canton, GA 30115 | 2020-07-31 |
| 1033754163 | Kelly Marie Shirley | Nurse Practitioner | 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115 | 2019-11-13 |
| 1700394319 | Jennifer Lynn Davenport | Nurse Practitioner | 684 Sixes Rd Ste 125, Holly Springs, GA 30115 | 2018-01-17 |
| 1851717961 | Wal-mart Stores East, Lp | Technician/Technologist | 2200 Holly Springs Pkey, Holly Springs, GA 30115 | 2014-03-13 |
| 1194148502 | Julia Bedingfield Reid | Pharmacist | 450 Northside Cherokee Blvd Ste T20, Canton, GA 30115 | 2014-01-22 |
| 1447597992 | America's Best Contacts & Eyeglasses | Technician/Technologist | 2030 Cumming Highway, Suite 106, Canton, GA 30115 | 2013-01-03 |
| 1679821193 | Jill M Decorso | Speech-Language Pathologist | 4280 Hickory Flat Hwy, Ste 108, Canton, GA 30115 | 2012-08-15 |
| 1306113378 | Sidney Boyd Collier IIi | Pharmacist | 6111 Hickory Flat Highway, Canton, GA 30115 | 2011-11-18 |
| 1174804702 | Rayllensons Itacy | Physician Assistant | 2020 Cumming Highway, Suite 102, Canton, GA 30115 | 2011-09-09 |
| 1245534346 | Kim M. Mcmillan | Counselor | 154 Lakeside Drive, Canton, GA 30115 | 2011-01-04 |
| Find all providers in zip 30115 | ||||
| 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 |
|---|---|---|---|---|
| 1174164826 | Amy Sandhu Khan | Pharmacist | 5860 N Canton Center Rd Ste 340, Canton, MI 48187-2687 | 2019-10-03 |
| 1336747161 | Chelsea Dunn | Pharmacist | 6766 Hickory Flat Hwy, Canton, GA 30115-9224 | 2020-10-14 |
| 1134727332 | Sarah Khan | Pharmacist | 41460 Haggerty Cir S, Canton, MI 48188-2227 | 2020-10-12 |
| 1457982431 | Emilie Lobeck | Pharmacist | 4045 Marietta Hwy, Canton, GA 30114-8600 | 2020-01-29 |
| 1710518782 | Catherine Rachel Dover | Pharmacist | 6766 Hickory Flat Hwy, Canton, GA 30115-9224 | 2020-01-29 |
| 1811528805 | James Byron Rodgers Jr. | Pharmacist | 4045 Marietta Hwy, Canton, GA 30114-8600 | 2020-01-29 |
| 1720619869 | Karen Marie Norris | Pharmacist | 4045 Marietta Hwy, Canton, GA 30114-8600 | 2020-01-28 |
| 1740810456 | Brian James West | Pharmacist | 8020 Cumming Hwy, Canton, GA 30115-9337 | 2020-01-22 |
| 1811527765 | Bela Palmer | Pharmacist | 6766 Hickory Flat Hwy, Canton, GA 30115-9224 | 2020-01-20 |
| 1417596453 | Wafa Altamam | Pharmacist | 45540 Michigan Ave, Canton, MI 48188-2472 | 2019-12-21 |
| Find all providers in CANTON | ||||
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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.