DEIDRA C BROWN (NPI# 1497936223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497936223 |
| Entity Type | Individual |
| Full Name | DEIDRA C BROWN |
| Credential | RPH |
| Practice Address |
815 Shugart Rd Dalton GA 30720-2433 |
| Practice Telephone | 7062712834 |
| Mailing Telephone | 7062712834 |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2007-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH015697 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255880993 | Deidra G Brown | Nurse Practitioner | 51 Lincoln Ave E, West Harrison, NY 10604-2621 | 2016-09-22 |
| 1285111898 | Deidra Brown | Behavior Technician | 9370 W Stockton Blvd Ste 100, Elk Grove, CA 95758-8013 | 2018-07-26 |
| 1861979551 | Deidra Brown | Specialist/Technologist | 141 Hillcrest Dr, Clarksville, TN 37043-5088 | 2018-07-25 |
| Street Address |
815 SHUGART RD |
| City | DALTON |
| State | GA |
| Zip Code | 30720-2433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275550519 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 815 Shugart Rd, Dalton, GA 30720-2433 | 2006-07-16 |
| 1134585193 | Todd Thomas | Pharmacist | 815 Shugart Rd, Dalton, GA 30720-2433 | 2016-01-06 |
| 1184031163 | Wal-mart Stores East, Lp | Nurse Practitioner | 815 Shugart Rd, Dalton, GA 30720-2433 | 2014-07-22 |
| 1083744908 | William C White | Optometrist | 815 Shugart Rd, Walmart Vision, Dalton, GA 30721 | 2007-03-07 |
| 1972689768 | Wal-mart Stores East, Lp | Technician/Technologist | 815 Shugart Rd, Dalton, GA 30720-2433 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528688421 | Nighat Purnima Kabir | Student in an Organized Health Care Education/Training Program | Hamilton Medical Center, Attn: Residency Program, 1200 Memorial Drive, Dalton, GA 30720 | 2020-04-21 |
| 1720620727 | Elizabeth Nicole Gregory | Behavioral Analyst | 1201 Burleyson Rd., Dalton, GA 30720 | 2019-10-10 |
| 1972161768 | Andrea Nicole Henry | Speech-Language Pathologist | 1201 Burleyson Road, Dalton, Ga. 30720, Dalton, GA 30720 | 2019-06-05 |
| 1275056905 | Cynthia L Wood | Speech-Language Pathologist | 1011 Professional Blvd., Dalton, GA 30720 | 2017-07-25 |
| 1073069225 | Alyssa Sellers Garner | Nurse Practitioner | 1436 Chattanooga Avenue, Dalton, GA 30720 | 2016-08-28 |
| 1588039077 | Katie Walker | Social Worker | 900 Shugart Road, Dalton, GA 30720 | 2015-12-09 |
| 1215310800 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 98 West Walnut Ave, Dalton, GA 30720 | 2015-07-01 |
| 1275969081 | Stacy Kay Whitehead | Nurse Practitioner | 1411 Chattanooga Avenue, Suite 101, Dalton, GA 30720 | 2013-09-25 |
| 1821439985 | Chantal Aneka Raheeda Lewis | Internal Medicine | 1109 Burleyson Rd Ste 103, Dalton, GA 30720 | 2013-07-17 |
| 1174960678 | Homestead Hospice of Northwest Georgia, LLC | Hospice Care, Community Based | 1601 Hickory Street, Dalton, GA 30720 | 2013-05-24 |
| Find all providers in zip 30720 | ||||
| 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 |
|---|---|---|---|---|
| 1598365462 | Yogin Patel | Pharmacist | 98 W Walnut Ave, Dalton, GA 30720-8477 | 2020-10-29 |
| 1760874960 | Arnold Hill Jr. | Pharmacist | 1287 Cleveland Hwy, Dalton, GA 30721-8675 | 2015-02-24 |
| 1679962229 | Heather Ridgway | Pharmacist | 111 Altamont Ave, Dalton, GA 30720-5910 | 2015-01-21 |
| 1962831453 | Amir Parsad | Pharmacist | 1205 N Glenwood Ave, Dalton, GA 30721-2603 | 2013-11-05 |
| 1548553167 | Michael Ivan Jacoby | Pharmacist | 192 Locust Ln, Dalton, PA 18414-9557 | 2011-05-16 |
| 1508157645 | Tammy White | Pharmacist | 80 S Waterford Rd, Dalton, PA 18414-7751 | 2011-04-24 |
| 1598080418 | Suzanne Louise Redmon | Pharmacist | 1203 Cleveland Hwy, Dalton, GA 30721-8674 | 2010-04-03 |
| 1780916379 | Thomas B Rollins | Pharmacist | 1308 W Walnut Ave, Dalton, GA 30720-3827 | 2010-02-05 |
| 1851551188 | Nathan John Ott | Pharmacist | 1287 N Glenwood Ave, Dalton, GA 30721-2603 | 2008-06-10 |
| 1891975207 | Charles David Maret | Pharmacist | 128 Huntington Rd, Dalton, GA 30720-3854 | 2007-11-14 |
| Find all providers in DALTON | ||||
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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.