MR. REID WALLACE GRIFFIN (NPI# 1396244034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396244034 |
Entity Type | Individual |
Full Name | MR. REID WALLACE GRIFFIN |
Credential | RPH |
Practice Address |
1537 Walton Way Augusta GA 30904-3764 |
Mailing Address |
3 Lake Ct Augusta GA 30909-2735 |
Practice Telephone | 7067311351 |
Mailing Telephone | 7065132806 |
Enumeration Date | 2018-02-08 |
Last Update Date | 2018-02-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
016099 | GA | Pharmacy Service Providers |
Street Address |
1537 WALTON WAY |
City | AUGUSTA |
State | GA |
Zip Code | 30904-3764 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194722389 | Select Specialty Hospital - Augusta Inc | Long Term Care Hospital | 1537 Walton Way, Augusta, GA 30904-3764 | 2005-07-01 |
1699386128 | Hospital Medicine Consulting | Internal Medicine | 1537 Walton Way, Augusta, GA 30904-3764 | 2020-08-10 |
1467959437 | Jeff Langford | Pharmacist | 1537 Walton Way, Augusta, GA 30904-3764 | 2018-04-06 |
1235670332 | Keira Kimbrough-waters | Pharmacist | 1537 Walton Way, Augusta, GA 30904-3764 | 2017-03-09 |
1598150617 | Carole M Gallagher | Social Worker | 1537 Walton Way, Augusta, GA 30904-3764 | 2015-04-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
Find all providers in zip 30904 |
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 |
---|---|---|---|---|
1316276033 | Susan Christine Fagan | Pharmacist | Hm 1220 1120 15th Street, University of Georgia College of Pharmacy, Augusta, GA 30912 | 2009-12-08 |
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 |
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 |
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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.