UNIVERSITY HEALTH CENTER, UNIVERSITY OF GA HEALTH CENTER PHARMACY (NPI# 1558435784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558435784 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY HEALTH CENTER, UNIVERSITY OF GA HEALTH CENTER PHARMACY |
| Other Organization Name | UNIVERSITY OF GEORGIA HEALTH CENTER PHARMACY |
| Practice Address |
55 Carlton St Athens GA 30602-1755 |
| Practice Telephone | 7065429979 |
| Practice Fax Number | 7065830276 |
| Mailing Telephone | 7065429979 |
| Mailing Fax Number | 7065830276 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-02-24 |
| Authorized Official Name | DR. BRADFORD UPCHURCH (PHARMACY MANAGER) |
| Authorized Official Telephone | 7065429979 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | BOARD OF REGENTS OF THE UNIVERSITY SYSTEM OF GEORGIA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | Pharmacy Service Providers |
| Other Name | Type Code |
|---|---|
| University of Georgia Health Center Pharmacy | Doing Business As Name - Organization |
| University of Georgia, Universiity Health Center | Doing Business As Name - Organization |
| Street Address |
55 CARLTON ST |
| City | ATHENS |
| State | GA |
| Zip Code | 30602-1755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447232012 | Aimee T. Martin | Emergency Medicine | 55 Carlton St, Athens, GA 30602-1503 | 2005-11-18 |
| 1386297877 | Elizabeth Kindamo | Dietitian, Registered | 55 Carlton St, Athens, GA 30602-1503 | 2019-07-23 |
| 1760035257 | Staci Belcher | Dietitian, Registered | 55 Carlton St, Athens, GA 30602-1503 | 2019-07-23 |
| 1679000319 | Whitni Mcconnell | Dietitian, Registered | 55 Carlton St, University Health Center, Athens, GA 30602-1755 | 2017-05-12 |
| 1942748397 | University Health Center, University of Georgia | Clinic/Center | 55 Carlton St, Athens, GA 30602-1755 | 2017-02-06 |
| 1649675943 | Elizabeth Cheely | Social Worker | 55 Carlton St, Athens, GA 30602-1503 | 2014-10-29 |
| 1942635636 | Lila Grisar | Social Worker | 55 Carlton St, Athens, GA 30602-1755 | 2013-09-12 |
| 1548601214 | Austin Shedden | Psychologist | 55 Carlton St, Athens, GA 30602-1755 | 2013-07-10 |
| 1578814240 | Stevie Tabor Stigler | Counselor | 55 Carlton St, Athens, GA 30602-1503 | 2012-09-21 |
| 1053673566 | Sandrine M Bosshardt | Psychologist | 55 Carlton St, Athens, GA 30602-1503 | 2012-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598380719 | Courtney Vickery | Dietitian, Registered | Dw Brooks Dr, Athens, GA 30602 | 2020-06-12 |
| 1891979803 | Psychology Clinic | Psychologist | 139 Psychology Bldg., The University of Georgia, Athens, GA 30602 | 2007-12-27 |
| 1902008188 | A. Michele Lease | Psychologist | 630 Aderhold Hall, University of Georgia, Athens, GA 30602 | 2007-06-01 |
| 1992881841 | Uga Speech and Hearing | Audiologist | 593 Aderhold Hall, Athens, GA 30602 | 2006-10-31 |
| 1437702453 | Anna Catherine Jessup | Specialist/Technologist | 330 River Rd, Athens, GA 30602 | 2019-07-18 |
| 1598072845 | Kendra Cordero Nelson | Physical Therapist | 370 River Road, Athens, GA 30602 | 2010-09-08 |
| 1104013150 | Kellie L Bauer | Speech-Language Pathologist | 593 Aderhold Hall, University of Georgia Speech and Hearing Clinic, Athens, GA 30602 | 2007-10-03 |
| 1699322271 | Michael Comeaux Jr. | Specialist/Technologist | 518 Dw Brooks Drive, Athens, GA 30602-0001 | 2019-08-20 |
| 1942852835 | Megha Danielle Sequeira | Specialist/Technologist | 330 Ramsey Road, Athens, GA 30602-0001 | 2019-07-11 |
| 1124688650 | Earl R. Cooper | Specialist/Technologist | 330 River Road 371 Ramsey Center 371 Ramsey Center, Athens, GA 30602-0001 | 2019-06-17 |
| Find all providers in zip 30602 | ||||
| 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 |
|---|---|---|---|---|
| 1912508797 | Vince R Koping | Pharmacist | 929 East State St, Athens, OH 45701 | 2020-11-06 |
| 1336755172 | Leigh Ann Perri O'dowd | Pharmacist | 1260 S Milledge Ave Apt F-1, Athens, GA 30605-1477 | 2020-09-17 |
| 1932724192 | Alyssa Reynolds | Pharmacist | 215 Us Highway 31 S, Athens, AL 35611-2892 | 2020-06-13 |
| 1790331049 | Selma Kajtazovic | Pharmacist | 250 W Green St, Athens, GA 30602-5036 | 2019-08-13 |
| 1396397543 | Brittany M Delettre | Pharmacist | 355 Jennings Mill Pkwy Apt 1223, Athens, GA 30606-7281 | 2019-07-09 |
| 1699335638 | Megan Minehart | Pharmacist | 75 Hospital Dr Ste 130, Athens, OH 45701-2858 | 2019-06-20 |
| 1588136386 | Matthew Taylor Bridges | Pharmacist | 168 Hart Ave, Athens, GA 30606-6722 | 2018-12-19 |
| 1710490024 | Sandipkumar S Bhagat | Pharmacist | 130 Gaines School Rd, Athens, GA 30605-3118 | 2017-11-08 |
| 1356865935 | Elizabeth Anne Price | Pharmacist | 9249 Hwy 29, Athens Community Based Outpatient Va Clinic, Athens, GA 30601 | 2017-07-26 |
| 1184172934 | Erik Alan Jenkins | Pharmacist | 2131 E. State St., Holzer Family Pharmacy, Athens, OH 45701 | 2016-09-21 |
| Find all providers in ATHENS | ||||
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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.