DR. JAMES THOMAS FANNING IV (NPI# 1437525458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437525458 |
| Entity Type | Individual |
| Full Name | DR. JAMES THOMAS FANNING IV |
| Credential | PHARM. D. |
| Practice Address |
3930 Shallowford Rd Marietta GA 30062-5014 |
| Practice Telephone | 7706405643 |
| Practice Fax Number | 6783521807 |
| Mailing Telephone | 7706405643 |
| Mailing Fax Number | 6783521807 |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2015-08-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 028545 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144759903 | James Dupre Fanning Jr. | Counselor | 805 Gibson Forest Dr, Lexington, SC 29072-4101 | 2017-06-06 |
| 1962524918 | James W Fanning | Dentist | 222 W Nolana St, Mcallen, TX 78504-2513 | 2007-04-03 |
| 1366419418 | James Fanning | Obstetrics & Gynecology | 5016 W Cypress St Ste 200a, Tampa, FL 33607 | 2006-03-07 |
| 1538130307 | James Bernard Fanning Sr. | Internal Medicine | 2 George St, North Haven, CT 06473-1822 | 2006-01-30 |
| 1023022282 | James B Fanning Jr. | Obstetrics & Gynecology | 185 Center St, Suite H, Wallingford, CT 06492-4100 | 2006-07-27 |
| 1861443897 | James Edward Fanning | Internal Medicine | 701 Tyler St, Sandusky, OH 44870-3321 | 2006-05-15 |
| Street Address |
3930 SHALLOWFORD RD |
| City | MARIETTA |
| State | GA |
| Zip Code | 30062-5014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467556399 | Georgia Cvs Pharmacy, L.L.C. | Pharmacy | 3930 Shallowford Rd, Marietta, GA 30062-5014 | 2006-09-12 |
| 1790153468 | Monai Leandra Lowe | Pharmacist | 3930 Shallowford Rd, Marietta, GA 30062-5014 | 2015-09-10 |
| 1598131609 | Payal Patel | Pharmacist | 3930 Shallowford Rd, Marietta, GA 30062-5014 | 2015-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578051 | Pamela D Kretzmer | Social Worker | 3855 Shallowford Road, Suite 420, Marietta, GA 30062 | 2020-11-03 |
| 1932714680 | Michelle Chambless | Physical Therapist | Team Rehabilitation Ga01, LLC, 1401 Johnson Ferry Road, Suite 340, Marietta, GA 30062 | 2020-09-10 |
| 1700408887 | Life University | Chiropractor | 1323 Roswell Road, Marietta, GA 30062 | 2020-05-12 |
| 1104451160 | Sno Healthcare Group | Clinic/Center | 2424 Roswell Rd Ste 120, Marietta, GA 30062 | 2020-03-10 |
| 1811536212 | Sandy Plains Dental Group, PC | Dentist | 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 | 2020-01-02 |
| 1073159034 | Magdala Tulcie Jodesty-jackson | Social Worker | 4343 Shalloword Road, Building H, Suite 4 Lower Level, Marietta, GA 30062 | 2019-11-25 |
| 1598235178 | Matthew Driggers | Counselor | 4343 Shallowford Rd C2, Marietta, GA 30062 | 2018-11-27 |
| 1750895785 | Emily Grace Minday | Counselor | 4343 Shallowford Road Building C, Suite 1 Lower Level, Marietta, GA 30062 | 2017-11-29 |
| 1477072122 | Jason Lee Amos | Speech-Language Pathologist | 3660 Chestnut Ridge Court, Marietta, GA 30062 | 2017-09-13 |
| 1346761376 | Marian Pomaah Opoku-agyeman | Nurse Practitioner | 4661 Andrea Pointe, Marietta, GA 30062 | 2017-06-29 |
| Find all providers in zip 30062 | ||||
| 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 |
|---|---|---|---|---|
| 1831798917 | Barbara Ann Goldschmidt | Pharmacist | 4088 Lower Roswell Rd, Marietta, GA 30068 | 2020-10-20 |
| 1275143380 | Stephanie Diane-hunsley Long | Pharmacist | 1050 E Piedmont Rd Ste P, Marietta, GA 30062-4744 | 2020-08-04 |
| 1043833304 | Chelsey Lewis | Pharmacist | 660 Whitlock Ave Sw, Marietta, GA 30064 | 2020-05-21 |
| 1053947226 | Chettana Sanasith | Pharmacist | 1979 Carithers Way, Marietta, GA 30064-6012 | 2020-03-19 |
| 1356997522 | Jeffry Todd Arthur | Pharmacist | 401 Matthew Street Suite 100, Marietta, OH 45750 | 2019-08-14 |
| 1659837086 | Charnisha Thomas | Pharmacist | 3024 Hidden Forest Ct Unit 5203, Marietta, GA 30066-3155 | 2019-02-11 |
| 1356819502 | Kineta Naidu | Pharmacist | 1040 Brockton Close, Marietta, GA 30068-4924 | 2018-11-06 |
| 1285114843 | Jorg Richard Largent Jr. | Pharmacist | 1761 Chanson Pl, Marietta, GA 30062-2169 | 2018-08-14 |
| 1124506993 | Allison Delancey | Pharmacist | 401 Matthew St Ste 100, Marietta, OH 45750-1635 | 2018-08-02 |
| 1003320326 | Jerrica Lanise Dodd | Pharmacist | 2499 Red Barn Rd Sw, Marietta, GA 30064-4905 | 2017-11-22 |
| Find all providers in MARIETTA | ||||
Please comment or provide details below to improve the information on DR. JAMES THOMAS FANNING IV.
| 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.