EDWARD EDEH (NPI# 1518565902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518565902 |
Entity Type | Individual |
Full Name | EDWARD EDEH |
Credential | PHARM D |
Practice Address |
1232 South Hairstoh Road Stone Mountain GA 30088 |
Mailing Address |
1232 S Hairston Rd Stone Mountain GA 30088-2715 |
Practice Telephone | 4042925542 |
Practice Fax Number | 4042925582 |
Mailing Telephone | 4042925542 |
Enumeration Date | 2020-10-16 |
Last Update Date | 2020-10-16 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH014561 | GA | Pharmacy Service Providers |
Street Address |
1232 SOUTH HAIRSTOH ROAD |
City | STONE MOUNTAIN |
State | GA |
Zip Code | 30088 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588124879 | Birds of Paradise Physical Therapy Services,llc | Physical Therapy Assistant | 754 Post Road Ln, Address Line 2, Stone Mountain, GA 30088 | 2019-03-22 |
1710467923 | Stephanie Patrice Mccray | In Home Supportive Care | 1058 Millard Road, Stone Mountain, GA 30088 | 2018-08-16 |
1912365321 | Audrey Perry | Respiratory Therapist, Certified | 1588 Linkview Close, Stone Mountain, GA 30088 | 2016-02-01 |
1689041428 | Reaching Above Poverty | Counselor | 5401 Megan Rd, Stone Mountain, GA 30088 | 2015-08-27 |
1043692254 | Bethany Johnson | Home Health Aide | 981 Deer Chase Court, Stone Mountain, GA 30088 | 2015-06-24 |
1073859666 | Whitney's Place Inc. | Custodial Care Facility | 5451 Rockbeidge Road, Stone Mountain, GA 30088 | 2012-12-31 |
1831468818 | The Art of Living Cla LLC. | Community/Behavioral Health | 1668 South Hairston Rd, Stone Mountain, GA 30088 | 2011-12-21 |
1659670792 | Atarah Ranit Kimmons | Occupational Therapist | 2045 County Down Lane, Stone Moutain, GA 30088 | 2011-03-15 |
1104060219 | William Tyrell Reid Jr. | Dentist | 1183 South Hairstron Rd., Suite D, Stone Mountain, GA 30088 | 2009-04-21 |
1376747584 | Marie D Saturne | Dentist | 1147 South Hairston Road, Stone Mtn., GA 30088 | 2007-06-12 |
Find all providers in zip 30088 |
Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497389597 | Rx Healthcare Ltd | Pharmacist | 2136 W Park Ct Ste I, Stone Mountain, GA 30087-3528 | 2020-02-27 |
1336779313 | Andy Tran | Pharmacist | 1232 S Hairston Rd, Stone Mountain, GA 30088-2715 | 2020-01-18 |
1225637499 | Walter Monroe Massey IIi | Pharmacist | 1227 Rockbridge Rd, Stone Mountain, GA 30087-3064 | 2020-10-20 |
1073111894 | Hye Jin Kim | Pharmacist | 1227 Rockbridge Rd, Stone Mountain, GA 30087-3064 | 2020-10-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306445747 | Hiep Hoang Do | Pharmacist | 801 Burns Estates Dr, Lilburn, GA 30047-3484 | 2020-10-17 |
1548868342 | Jackson Gathuru Ngugi | Pharmacist | 193 Anniversary Ln, Acworth, GA 30102-2045 | 2020-10-14 |
1568086494 | Lynn Berner Marshall | Pharmacist | 3823 Club Forest Dr, Peachtree Corners, GA 30092-2369 | 2020-06-06 |
1295357325 | Rhonda Ireland | Pharmacist | 125 Main Street Marketplace, Cartersville, GA 30120 | 2020-05-12 |
1073132676 | Khushboo S Rhodes | Pharmacist | 3101 Roswell Rd Ste 132, Marietta, GA 30062-5523 | 2020-04-14 |
1194354647 | Deanna W Mcewen | Pharmacist | 1720 Epps Bridge Road, Athens, GA 30606-6132 | 2020-04-06 |
1104452663 | Latrena Solomon | Pharmacist | 1750 Highway 138 E, Stockbridge, GA 30281-2810 | 2020-03-17 |
1972136273 | Shannon Sulik | Pharmacist | 774 Highway 96, Bonaire, GA 31005-3300 | 2020-02-15 |
1497388904 | Ben Allen Sanders | Pharmacist | Kroger Pharmacy 627, 5550 Bethelview Road, Cumming, GA 30040 | 2020-02-13 |
1386277820 | Cristina Madalina Niculas | Pharmacist | Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 | 2020-02-12 |
Find all providers with the same taxonomy |
City | STONE MOUNTAIN |
Zip Code | 30088 |
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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.