MR. WALLACE ALLEN PARTRIDGE JR. (NPI# 1447569694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447569694 |
| Entity Type | Individual |
| Full Name | MR. WALLACE ALLEN PARTRIDGE JR. |
| Credential | PHARMACIST |
| Practice Address |
5104 Wrightsboro Rd. Fred's Pharmacy 1699 Grovetown GA 30813 |
| Practice Telephone | 7062107545 |
| Practice Fax Number | 7062109578 |
| Mailing Telephone | 7062107545 |
| Mailing Fax Number | 7062109578 |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2010-10-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 10760 | GA | Pharmacy Service Providers |
| Street Address |
5104 WRIGHTSBORO RD. FRED'S PHARMACY 1699 |
| City | GROVETOWN |
| State | GA |
| Zip Code | 30813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598276412 | Georgia Dental Professionals, PC | Dentist | 9596 Bentley Dr., Grovetown, GA 30813 | 2017-10-18 |
| 1558891895 | Jennifer M Humm | Dentist | 250 Merridian Drive, Grovetown, GA 30813 | 2017-06-19 |
| 1710335443 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 435 Lewiston Rd, Grovetown, GA 30813 | 2016-06-03 |
| 1558727214 | Lynda R Green | Counselor | 426 Northrop Place, Grovetown, GA 30813 | 2016-01-11 |
| 1689002610 | Patriots Park Dental, LLC | Dentist | 701 Devika Drive, Ste 10, Grovetown, GA 30813 | 2013-10-30 |
| 1255680096 | David Schulte Jr. | Internal Medicine | 925 Branch Ct Ste 2101, Grovetown, GA 30813 | 2012-09-07 |
| 1548519481 | Ashley Roberts Saunders | Pharmacist | 869 Horizon South Parkway, Grovetown, GA 30813 | 2012-09-06 |
| 1497908149 | Sharon M Blair | Registered Nurse | 7640 Pleasantville Way, Grovetown, GA 30813 | 2008-10-28 |
| 1710160791 | Rebecca Meek | Nurse Practitioner | 469 Lewiston Rd, Grovetown, GA 30813 | 2007-12-12 |
| 1659434348 | Audra Harris | Case Manager/Care Coordinator | 7576 Pleasantville Way, Grovetown, GA 30813 | 2006-12-18 |
| Find all providers in zip 30813 | ||||
| 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 |
|---|---|---|---|---|
| 1972103083 | Lesley Brown Todd | Pharmacist | 5303a Wrightsboro Rd, Grovetown, GA 30813-2800 | 2020-10-28 |
| 1629528013 | Jeremiah Detchemendy | Pharmacist | 2116 Glenn Fls, Grovetown, GA 30813-5280 | 2016-10-10 |
| 1336484922 | Holly Hallman Harp | Pharmacist | 2006 Magnolia Pkwy, Grovetown, GA 30813-3087 | 2012-12-07 |
| 1548519481 | Ashley Roberts Saunders | Pharmacist | 869 Horizon South Parkway, Grovetown, GA 30813 | 2012-09-06 |
| 1881986495 | Alice Janie Goodman | Pharmacist | 440 Bowen Fls, Grovetown, GA 30813-5919 | 2011-05-15 |
| 1710276134 | Chasity Nicole Sello | Pharmacist | 160 Summerfield Cir, Grovetown, GA 30813-2201 | 2011-04-06 |
| 1346840253 | Jennifer Catherine Deal | Pharmacist | 5303a Wrightsboro Rd, Grovetown, GA 30813-2800 | 2020-10-29 |
| 1477153666 | Jeremy Hargis | Pharmacist | 5303a Wrightsboro Rd, Grovetown, GA 30813-2800 | 2020-10-28 |
| 1710587282 | Jason Sprouse | Pharmacist | 5010 Steiner Way, Grovetown, GA 30813-5010 | 2020-10-26 |
| 1124630876 | Karen Chiu | Pharmacist | 898 Horizon South Pkwy, Grovetown, GA 30813-3037 | 2020-08-22 |
| Find all providers in GROVETOWN | ||||
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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.