ALLEGRA VANESSA MCDONALD FADEYI (NPI# 1457748782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457748782 |
| Entity Type | Individual |
| Full Name | ALLEGRA VANESSA MCDONALD FADEYI |
| Other Name | ALLEGRA MCDONALD FADEYI |
| Credential | PHARMD, CGP |
| Practice Address |
643 Rocky Field Dr Cordova TN 38018-6550 |
| Mailing Address |
643 Rocky Field Drive Cordova TN 38018-6550 |
| Practice Telephone | 8046516429 |
| Mailing Telephone | 8046516429 |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2015-04-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835G0303X |
Pharmacist Specialization: Geriatric |
0202205262 | VA | Pharmacy Service Providers |
| N | 1835G0303X |
Pharmacist Specialization: Geriatric |
P-11728 | MS | Pharmacy Service Providers |
| Y | 1835G0303X |
Pharmacist Specialization: Geriatric |
36005 | TN | Pharmacy Service Providers |
| Street Address |
643 ROCKY FIELD DR |
| City | CORDOVA |
| State | TN |
| Zip Code | 38018-6550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264428 | Shaquia Janai Harris | Behavior Technician | 1079 N Houston Levee Road, Cordova, TN 38018 | 2020-10-29 |
| 1366041493 | Cynthia Brantley | Behavior Technician | 1079 N Houston Levee Rd, Cordova, TN 38018 | 2020-10-20 |
| 1558901736 | At Home Physical Rehabilitation Group, LLC | Physical Therapy Assistant | 856 Willow Tree Circle, Cordova, TN 38018 | 2020-01-15 |
| 1538703038 | Scott Eric Balogh | Psychiatry & Neurology | 65 Germantown Court, Suite 203, Cordova, TN 38018 | 2019-10-29 |
| 1851871305 | Joanna H Fussell | Behavioral Analyst | 8066 Walnut Run Suite 102, Cordova, TN 38018 | 2018-08-15 |
| 1841736097 | A Guardian Care Group | Home Health | 10164 Green Moss, Cordova, TN 38018 | 2017-01-12 |
| 1497127146 | Functional Independence, Inc. | Home Health | 270 German Oak Dr., Memphis, TN 38018 | 2015-10-21 |
| 1679984363 | Tiffany Masters Redfern | Obstetrics & Gynecology | 521 Riveredge Dr W, Cordova, TN 38018 | 2014-05-15 |
| 1295073427 | Mitchell Wyman Alvarez | Optometrist | 2075 N. Germantown Pkwy, Memphis, TN 38018 | 2013-01-23 |
| 1578827531 | Chiung Feng Hsu | Dentist | 831 Timber Creek Dr #1, Cordova, TN 38018 | 2012-06-25 |
| Find all providers in zip 38018 | ||||
| Taxonomy Code | 1835G0303X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Geriatric |
| A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly. |
| Notes: Source: Commission for Certification in Geriatric Pharmacy (www.ccgp.org) [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603632 | Gina Hall Kent | Pharmacist | 1740 Valley Forge Dr, Hixson, TN 37343-3468 | 2020-06-16 |
| 1134632706 | Gary Victor Friedman | Pharmacist | 4411 Spicewood Springs Road #1111, Austin, TN 78759 | 2017-11-06 |
| 1447630819 | Trenton Wallace | Pharmacist | 125 Sontag Dr, Franklin, TN 37064-5757 | 2015-06-01 |
| 1659649762 | Jill Renee Hoene | Pharmacist | 101 Gillespie Dr Apt 3301, Franklin, TN 37067-7524 | 2011-12-02 |
| 1184915514 | E Mendel Mehr Jr. | Pharmacist | 9232 Coxboro Ct, Brentwood, TN 37027-7435 | 2011-04-19 |
| 1891098455 | Debbie Anne Harrell | Pharmacist | 1537 Bedford Cmn, Franklin, TN 37064-5364 | 2010-12-20 |
| 1447577390 | Lihua Wei | Pharmacist | 305 Seaboard Ln Ste 318, Franklin, TN 37067-8288 | 2010-04-30 |
| 1922268036 | Shannon Leigh Stewart | Pharmacist | 1410 Cherry Rd, Eads, TN 38028-3278 | 2008-06-11 |
| 1336354901 | Murfreesboro Pharmaceutical | Pharmacist | 1843 Memorial Blvd, Murfreesboro, TN 37129-1522 | 2007-05-14 |
| 1912120205 | Brad L Hopkins | Pharmacist | 246 Highway 641 N, Camden, TN 38320-1330 | 2007-04-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ALLEGRA VANESSA MCDONALD FADEYI.
| 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.