MRS. DANICA REESE ROBERTSON (NPI# 1639147713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639147713 |
| Entity Type | Individual |
| Full Name | MRS. DANICA REESE ROBERTSON |
| Credential | PHARMD |
| Practice Address |
4700 Nelson Brogdon Blvd Ste 190 Buford GA 30518 |
| Mailing Address |
4179 Duncan Ives Drive Buford GA 30519 |
| Practice Telephone | 7709459526 |
| Practice Fax Number | 7709451282 |
| Mailing Telephone | 7709042647 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH020899 | GA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | NABP | 1107108 | 01 |
| Street Address |
4700 NELSON BROGDON BLVD STE 190 |
| City | BUFORD |
| State | GA |
| Zip Code | 30518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942608757 | Ram Dental, LLC | Dentist | 4700 Nelson Brogdon Blvd, Buford, GA 30518-5400 | 2014-12-10 |
| 1013234954 | Princeton Dental Group | Dentist | 4700 Nelson Brogdon Blvd, Suite 210, Buford, GA 30518-5400 | 2010-05-03 |
| 1669533113 | Arnaldo M Jimenez | Internal Medicine | 4700 Nelson Brogdon Blvd, Suite 200, Buford, GA 30518-5400 | 2006-12-12 |
| 1467521393 | Elizabeth Arnold | Physical Therapist | 4700 Nelson Brogdon Blvd, Suite 250, Buford, GA 30518-5400 | 2006-11-07 |
| 1588632806 | Peter Austin Chrisco | Physical Therapist | 4700 Nelson Brogdon Blvd, Suite 240, Buford, GA 30518-5400 | 2006-03-11 |
| 1053389478 | Sherwoods Drug Shop Inc | Pharmacy | 4700 Nelson Brogdon Blvd, Suite 190, Buford, GA 30518-5400 | 2006-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809090 | Lori G Fiore | Pharmacist | 6001 Highway 20, Sugar Hill, GA 30518 | 2020-10-20 |
| 1295374684 | Wickshire Buford Opco LLC | Assisted Living Facility | 4355 South Lee Street, Buford, GA 30518 | 2020-01-02 |
| 1689221749 | Family First Palliative Care LLC | Internal Medicine | 2299 Saint Kennedy Lane, Buford, GA 30518 | 2019-08-23 |
| 1013471010 | Kennison Pharmacy, LLC | Pharmacy | 4050 Buford Drive, Buford, GA 30518 | 2019-01-24 |
| 1972073534 | Heather Leigh Wilson | Technician, Pathology | 4271 South Lee Street Suite 101 & 102, Buford, GA 30518 | 2018-11-27 |
| 1629581228 | Taylor Family Counseling | Social Worker | 1400 Buford Hwy Ste G7, Sugar Hill, GA 30518 | 2017-11-06 |
| 1417476292 | North Georgia Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | 860 Creekview Bluff Way, Buford, GA 30518 | 2017-09-13 |
| 1639693278 | Tara Banks Feddern | Occupational Therapist | 4319 South Lee Street Suite 300, Chandler Speech and Language Services, LLC, Buford, GA 30518 | 2017-07-26 |
| 1114457223 | Jeremy Likens | Specialist/Technologist, Other | 5885 Cumming Hwy Ste 108, #259, Sugar Hill, GA 30518 | 2017-06-13 |
| 1609224336 | Healthqwest Frontiers Inc | Clinic/Center | 4271 South Lee St., Suite 101 & 102, Buford, GA 30518 | 2016-06-03 |
| Find all providers in zip 30518 | ||||
| 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 |
|---|---|---|---|---|
| 1578103065 | Brittney Marie Smith | Pharmacist | 3130 Hallmark Ln, Buford, GA 30519-4425 | 2020-01-13 |
| 1629532957 | David Carr | Pharmacist | 4271 S Lee St # 101102, Buford, GA 30518-3710 | 2019-01-31 |
| 1760979561 | Asa Drake | Pharmacist | 4140 Plantation Mill Dr, Buford, GA 30519-7214 | 2018-04-17 |
| 1124546817 | Jenny Chang | Pharmacist | 2635 General Lee Way, Buford, GA 30519 | 2017-09-02 |
| 1679810311 | Caitlyn H Truong | Pharmacist | 4840 Golden Parkway, Buford, GA 30518 | 2013-01-15 |
| 1194093369 | Rupal Kothari | Pharmacist | 3806 Creekview Ridge Dr, Buford, GA 30518-8758 | 2011-12-02 |
| 1861788002 | Karen Coogan Koerts | Pharmacist | 3205 Woodward Crossing Blvd, T-1206, Buford, GA 30519-4938 | 2011-06-27 |
| 1821397860 | Ashish Patel | Pharmacist | 4470 Nelson Brogdon Blvd, Buford, GA 30518-3477 | 2011-03-16 |
| 1821396060 | Miranda Ivey Brown | Pharmacist | 3330 Hamilton Mill Rd, Buford, GA 30519-4005 | 2011-03-12 |
| 1750696977 | Thomas Bagby Garner Jr. | Pharmacist | 6264 Cumming Hwy, Buford, GA 30518-5615 | 2010-08-12 |
| Find all providers in BUFORD | ||||
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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.