STEVE WILSON INC (NPI# 1457374837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457374837 |
| Entity Type | Organization |
| Organization Name | STEVE WILSON INC |
| Other Organization Name | CARTER'S PHARMACY |
| Practice Address |
4015 S Cobb Dr Se Suite 130 Smyrna GA 30080-6303 |
| Practice Telephone | 7704365144 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2018-12-06 |
| Authorized Official Name | STEVE D WILSON (OWNER) |
| Authorized Official Telephone | 7704365144 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 183500000X | Pharmacist | 002332 | GA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00022866A | 05 |
| Other Name | Type Code |
|---|---|
| Carter's Pharmacy | Doing Business As Name - Organization |
| Street Address |
4015 S COBB DR SE SUITE 130 |
| City | SMYRNA |
| State | GA |
| Zip Code | 30080-6303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083617351 | Carlton D Haggard | Social Worker | 4015 S Cobb Dr Se, Ste 4, Smyrna, GA 30080-6315 | 2005-05-31 |
| 1417414632 | Mike Phillips LLC | Counselor | 4015 S Cobb Dr Se, Smyrna, GA 30080-6303 | 2019-02-24 |
| 1629534896 | Michael C Phillips | Counselor | 4015 S Cobb Dr Se, Smyrna, GA 30080-6303 | 2019-02-13 |
| 1902358146 | Hannah Jay Sabella | Dietitian, Registered | 4015 S Cobb Dr Se, Suite 250, Smyrna, GA 30080-6303 | 2016-11-03 |
| 1124470729 | Richard Charles Lie-nielsen | Counselor | 4015 S Cobb Dr Se, Suite 260, Smyrna, GA 30080-6303 | 2016-07-07 |
| 1508216136 | Jason Rhoads | Counselor | 4015 S Cobb Dr Se, Suite 1, Smyrna, GA 30080-6303 | 2016-06-14 |
| 1962850446 | Brenda Terry | Physician Assistant | 4015 S Cobb Dr Se, Suite 115, Smyrna, GA 30080-6303 | 2016-05-25 |
| 1669833448 | Christine Engstrom | Dietitian, Registered | 4015 S Cobb Dr Se, Suite 260, Smyrna, GA 30080-6303 | 2016-03-08 |
| 1700246550 | Personal Recovery Network LLC | Counselor | 4015 S Cobb Dr Se, Suite 115, Smyrna, GA 30080-6303 | 2016-03-07 |
| 1841650538 | Personal Recovery Network LLC | Internal Medicine | 4015 S Cobb Dr Se, Smyrna, GA 30080-6303 | 2016-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205169 | Suny Varughese | Nurse Practitioner | Minute Clinic, 2994 Atlanta Rd, Se, Smyrna, GA 30080 | 2020-08-11 |
| 1891287645 | Provident Group - Creekside Properties LLC | Alzheimer Center (Dementia Center) | 4838 South Cobb Drive, Smyrna, GA 30080 | 2018-06-06 |
| 1710490743 | Alina Rim | Registered Nurse | 4532 Chelton Ct Se, Smyrna, GA 30080 | 2017-11-13 |
| 1932626488 | Richard Kyle Davis | Pharmacist | 2955 Atlanta Rd Se, Smyrna, GA 30080 | 2017-08-25 |
| 1982071163 | Amelia Rafaela Turrubiates-huacuja | Counselor | 1246-c Concord Rd, Suite 101, Smyrna, GA 30080 | 2015-08-24 |
| 1275919755 | Anne Waldner Rohling | Physical Therapist | 1155 Concord Rd Se Ste 210, Smyrna, GA 30080 | 2015-08-06 |
| 1790167856 | Kay Yetunde Johnson | Nurse Practitioner | 3001 Lusk Dr, Smyrna, GA 30080 | 2015-06-25 |
| 1689055436 | Anew You Couneling, LLC | Community/Behavioral Health | 3188 Atlanta Rd, Smyrna, GA 30080 | 2015-06-17 |
| 1457766370 | Trondi Jerry | Counselor | 3381 Atlanta Rd Se, Smyrna, GA 30080 | 2014-06-30 |
| 1093081903 | Ashish Kapila | Podiatrist | Wellstar Podiatry, 4441 Atlanta Rd Se Suite 215, Smyrna, GA 30080 | 2012-03-25 |
| Find all providers in zip 30080 | ||||
| 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 |
|---|---|---|---|---|
| 1528628252 | Amy J Campbell | Pharmacist | 133 Bordeaux Ct, Smyrna, TN 37167-4606 | 2019-06-14 |
| 1932626488 | Richard Kyle Davis | Pharmacist | 2955 Atlanta Rd Se, Smyrna, GA 30080 | 2017-08-25 |
| 1518483171 | Yvener Charles | Pharmacist | 969 Windy Hill Rd Se Ste A, Smyrna, GA 30080-2025 | 2017-08-16 |
| 1497271282 | Elizabeth Lai | Pharmacist | 3253 Polo Run Cir Se, Smyrna, GA 30082-2454 | 2017-08-14 |
| 1043759988 | Roxanne Musharrafeia | Pharmacist | 4003 Saint Jules Way, Smyrna, TN 37167-7562 | 2017-02-13 |
| 1316494420 | Elizabeth Daniel | Pharmacist | 3250 Millwood Trl Se, Smyrna, GA 30080-1602 | 2016-09-07 |
| 1629450606 | Tzu-wei Huang | Pharmacist | 3303 Fieldwood Dr Se, Smyrna, GA 30080-1611 | 2015-06-25 |
| 1629486436 | Vickie Andros | Pharmacist | 200 Technology Ct Se Ste B, Smyrna, GA 30082-5201 | 2014-07-24 |
| 1144568536 | Jacinta E Jackson | Pharmacist | 2148 S Cobb Dr Se, Smyrna, GA 30080-1348 | 2013-01-21 |
| 1710224662 | Brandi Fannon | Pharmacist | 1950 Lake Park Dr Se, Smyrna, GA 30080-7648 | 2013-01-12 |
| Find all providers in SMYRNA | ||||
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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.