DR. MIRIAM W DOUGLAS (NPI# 1629361753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629361753 |
| Entity Type | Individual |
| Full Name | DR. MIRIAM W DOUGLAS |
| Credential | PHARM D |
| Practice Address |
961 Highway 20 81 Mcdonough GA 30253-6517 |
| Practice Telephone | 7708984112 |
| Practice Fax Number | 7708988963 |
| Mailing Telephone | 7708984112 |
| Mailing Fax Number | 7708988963 |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2015-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 017953 | GA | Pharmacy Service Providers |
| Street Address |
961 HIGHWAY 20 81 |
| City | MCDONOUGH |
| State | GA |
| Zip Code | 30253-6517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508010596 | Vaspar H Eddings | Pharmacist | 961 Highway 20 81, Mcdonough, GA 30253-6517 | 2008-11-04 |
| 1700300043 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 961 Highway 20 81, Mcdonough, GA 30253-6517 | 2017-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565159 | First Choice Home Health Care LLC | In Home Supportive Care | 600 Westridge Parkway, Suite 707, Mcdonough, GA 30253 | 2020-10-15 |
| 1164033783 | Tanequa S Dorsey | Counselor | 40 Macon Street, Suite D, Mcdonough, GA 30253 | 2020-08-17 |
| 1396369195 | Ikponmwosa Obakpolor | Physical Therapist | 234 Village Drive, Mcdonough, GA 30253 | 2020-06-08 |
| 1205392305 | Healthstat Onsite Clinic-henry County | Preventive Medicine | 141 Henry Parkway, Healthstat Clinic, Mcdonough, GA 30253 | 2019-02-13 |
| 1588128557 | Vernette R Mathurin | Licensed Practical Nurse | 97 Atl Street Suite 100, Mcdonough, GA 30253 | 2019-01-24 |
| 1083196836 | Peta-gaye C Pilote | Registered Nurse | 319 Regal Way E, Mcdonough, GA 30253 | 2018-08-29 |
| 1275021586 | Heritage Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 155 Westridge Pkwy Ste 217, Mcdonough, GA 30253 | 2018-04-23 |
| 1457853236 | Sherrille Greene | Counselor | 609 Autumn Leaf Circle, Mcdonough, GA 30253 | 2018-03-07 |
| 1376052696 | Kendra Oreggio | Private Vehicle | 117 Janney Circle, Mcdonough, GA 30253 | 2017-09-29 |
| 1245758788 | Pamela Hobbs | Home Health Aide | 5011 Monarch Dr, Mcdonough, GA 30253 | 2017-09-05 |
| Find all providers in zip 30253 | ||||
| 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 |
|---|---|---|---|---|
| 1154921336 | Sonal Patel | Pharmacist | 551 Stanhope St, Mcdonough, GA 30252-5851 | 2020-10-28 |
| 1689088064 | Jimmy Gbemi | Pharmacist | 116 Windward Hls, Mcdonough, GA 30253-5991 | 2014-06-13 |
| 1902218860 | Brandy Foster | Pharmacist | 2305 Jonesboro Rd, Mcdonough, GA 30253-5999 | 2014-05-27 |
| 1164706131 | Michelle Lee Cone | Pharmacist | 1210 Bent Creek Dr, Mcdonough, GA 30252 | 2011-10-07 |
| 1548544828 | Philip Wade Mclendon | Pharmacist | 1238 Bent Creek Dr, Mcdonough, GA 30252-5015 | 2011-10-04 |
| 1508010596 | Vaspar H Eddings | Pharmacist | 961 Highway 20 81, Mcdonough, GA 30253-6517 | 2008-11-04 |
| 1972753895 | Vanessa Bruno | Pharmacist | 1870 Highway 81 E, Mcdonough, GA 30252-3030 | 2008-09-27 |
| 1356510341 | Amanda Gaddy | Pharmacist | 343 Broadmoor Way, Mcdonough, GA 30253-4290 | 2008-02-25 |
| 1053500199 | Travis Ready | Pharmacist | 1039 Brush Arbor Cir, Mcdonough, GA 30252-5500 | 2007-10-15 |
| 1609097328 | Roberta L Rhoades | Pharmacist | 2125 Highway 155 N, Mcdonough, GA 30252-4809 | 2007-05-01 |
| Find all providers in MCDONOUGH | ||||
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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.