KACY LYNN THOMASON (NPI# 1508207903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508207903 |
| Entity Type | Individual |
| Full Name | KACY LYNN THOMASON |
| Other Name | KACY LYNN MULLIGAN |
| Credential | PHARMD |
| Practice Address |
104 Town Blvd Ne # A100 Brookhaven GA 30319-3146 |
| Mailing Address |
3571 Cold Spring Ln Chamblee GA 30341-2055 |
| Practice Telephone | 4042337480 |
| Mailing Telephone | 7708517980 |
| Enumeration Date | 2013-07-13 |
| Last Update Date | 2017-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH027320 | GA | Pharmacy Service Providers |
| Street Address |
104 TOWN BLVD NE # A100 |
| City | BROOKHAVEN |
| State | GA |
| Zip Code | 30319-3146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417568320 | Kristin Lott | Pharmacist | 104 Town Blvd Ne # A100, Brookhaven, GA 30319-3146 | 2020-08-13 |
| 1699385054 | Jeongmin Choi | Pharmacist | 104 Town Blvd Ne # A100, Brookhaven, GA 30319-3146 | 2020-07-31 |
| 1306322482 | Ashley Grozier | Pharmacist | 104 Town Blvd Ne # A100, Brookhaven, GA 30319-3146 | 2018-07-12 |
| 1528491750 | Jaime Devin Dunn | Pharmacist | 104 Town Blvd Ne # A100, Brookhaven, GA 30319-3146 | 2013-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215556717 | Ronika Cotton | Marriage & Family Therapist | 2002 Summit Boulevard, Suite 300, Atlanta, GA 30319 | 2020-04-14 |
| 1093369548 | Gordon Peace | Physical Therapist | 705 Town Blvd Ne S 550, Atlanta, GA 30319 | 2019-08-01 |
| 1124682281 | Tiffany Nicole Blamble | Physician Assistant | 2235 Briarwood Way Ne, Brookhaven, GA 30319 | 2019-04-24 |
| 1891286860 | Sandy Springs Center for Urologic Surgery LLC | Clinic/Center | 1450 S Johnson Ferry Rd Ste 100, Atlanta, GA 30319 | 2018-05-24 |
| 1578070355 | Aaron Knott | Physical Therapist | 4260 Peachtree Road, Atlanta, GA 30319 | 2018-01-03 |
| 1639683832 | Lauren Hamann | Physical Therapist | 3777 Peachtree Rd Ne Apt 933, Brookhaven, GA 30319 | 2017-11-27 |
| 1760993984 | Caroline M. Brackette | Counselor | 2002 Summit Blvd Ste 300, Brookhaven, GA 30319 | 2017-10-15 |
| 1700328713 | Christina Head | Counselor | 1350 Dresden Drive, Atlanta, GA 30319 | 2016-11-08 |
| 1528432572 | Hillary Allyn Olivier | Occupational Therapist | 3747 Peachtree Rd, Atlanta, GA 30319 | 2015-11-13 |
| 1285025304 | Karl Weismantel | Physical Therapy Assistant | 1000 Lenox Park Blvd, Atlanta, GA 30319 | 2015-02-11 |
| Find all providers in zip 30319 | ||||
| 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 |
|---|---|---|---|---|
| 1003416850 | Radina Raytcheva | Pharmacist | 2901 Clairmont Rd Ne, Brookhaven, GA 30329-1639 | 2020-10-30 |
| 1215554787 | Valerie R Tenaglia | Pharmacist | 148 Meadowbrook Ln, Brookhaven, PA 19015-2813 | 2020-07-01 |
| 1548746886 | Jessica Walton | Pharmacist | 3105 Druid Hills Reserve Dr Ne, Brookhaven, GA 30329-2041 | 2018-07-18 |
| 1861900755 | Amy Elizabeth Bixler | Pharmacist | 1200 Lake Hearn Dr Ne Ste 425, Brookhaven, GA 30319-6419 | 2018-01-14 |
| 1215485065 | Joseph Fuselli | Pharmacist | 708 Lincoln Dr, Brookhaven, PA 19015-1019 | 2016-09-21 |
| 1447691696 | James E Crane Jr. | Pharmacist | 839 Boyte Dr Se, Brookhaven, MS 39601-8455 | 2013-07-16 |
| 1629345939 | Amanda Dinmore | Pharmacist | 127 Meadowbrook Ln, Brookhaven, PA 19015-2812 | 2011-11-30 |
| 1023393808 | Howard King | Pharmacist | 4930 Edgmont Ave, Brookhaven, PA 19015-1201 | 2011-10-12 |
| 1194034264 | Bill E Blalack | Pharmacist | 218 S Whitworth Ave, Brookhaven, MS 39601-3343 | 2010-10-06 |
| 1306080288 | Phongsiri Sivasen Yee | Pharmacist | 5005 Edgemont Ave, Brookhaven, PA 19015-1202 | 2009-04-23 |
| Find all providers in BROOKHAVEN | ||||
| City | BROOKHAVEN |
| Zip Code | 30319 |
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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.