MR. SONI K JOSE (NPI# 1639452998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639452998 |
| Entity Type | Individual |
| Full Name | MR. SONI K JOSE |
| Practice Address |
2075 Grayson Hwy Grayson GA 30017-1242 |
| Mailing Address |
2008 Alcovy Shoals Blf Lawrenceville GA 30045-2788 |
| Practice Telephone | 7703380881 |
| Mailing Telephone | 6784070418 |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2011-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH022259 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043431992 | Soni Jose | Internal Medicine | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2007-05-01 |
| Street Address |
2075 GRAYSON HWY |
| City | GRAYSON |
| State | GA |
| Zip Code | 30017-1242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043225154 | Walgreen Co | Pharmacy | 2075 Grayson Hwy, Grayson, GA 30017-1242 | 2006-07-29 |
| 1891079497 | Nuzhat P Hashmi | Pharmacist | 2075 Grayson Hwy, Grayson, GA 30017-1242 | 2011-10-01 |
| 1538440383 | Cheryl Selena Butts | Pharmacist | 2075 Grayson Hwy, Grayson, GA 30017-1242 | 2011-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588140859 | Butterfly Development, LLC | Community Based Residential Treatment Facility, Mental Illness | 1911 Grayson Highway, Suite 8-242, Grayson, GA 30017 | 2018-07-19 |
| 1811417132 | Yva Gauthier | Nurse Practitioner | 1620 Terry Mill Lane, Grayson, GA 30017 | 2017-06-27 |
| 1023341518 | Christine R Petro, Psy.d., LLC | Psychologist | 69 Grayson New Hope Rd, Grayson, GA 30017 | 2009-09-15 |
| 1902097579 | Zain Odeh Dabbas | Dentist | 2594 Loganviile Hwy, # 102, Grayson, GA 30017 | 2007-08-07 |
| 1619078276 | Primary Foot & Ankle Care | Podiatrist | 862 Amber Hill Ct, Grayson, GA 30017 | 2006-09-26 |
| 1700878170 | James Michael Long | Dentist | 2518 Loganville Hwy, Grayson, GA 30017 | 2005-08-22 |
| 1629556717 | Mason Moriah Earp | Physical Therapist | 2065 Grayson Hwy Ste B, Grayson, GA 30017 | 2018-08-01 |
| 1811482201 | Matthew Ntomoo Lo | Physical Therapy Assistant | 2065 Grayson Hwy Ste B, Grayson, GA 30017 | 2018-06-27 |
| 1144460668 | Alisa M Nelson-wade | Dentist | 2219 Loganville Hwy, Hwy 20, Grayson, GA 30017 | 2009-02-24 |
| 1003321662 | Grace Care Ambulance Transport, LLC | Ambulance | 516 Sosebee Farm Rd Unit 531, Grayson, GA 30017-0118 | 2017-12-05 |
| Find all providers in zip 30017 | ||||
| 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 |
|---|---|---|---|---|
| 1407322431 | Patricia Francetich | Pharmacist | 1909 Round Rd, Grayson, GA 30017-1333 | 2018-10-17 |
| 1053856377 | Karen Gibbs-burton | Pharmacist | 516 Sosebee Farm Rd Unit 1426, Grayson, GA 30017-0154 | 2016-12-21 |
| 1467800730 | Allison Horsley | Pharmacist | 600 Cw Stevens Blvd, Grayson, KY 41143 | 2016-05-27 |
| 1972893428 | Cathy Jo Newton | Pharmacist | 100 S Carol Malone Blvd, Grayson, KY 41143-1352 | 2011-04-18 |
| 1205313657 | Melody Morrison | Pharmacist | 100 S Carol Malone Blvd, Grayson, KY 41143-1352 | 2018-07-27 |
| 1881171874 | Tyler Jacob Flaugher | Pharmacist | 100 S Carol Malone Blvd, Grayson, KY 41143-1352 | 2018-07-23 |
| 1326569641 | Robert Allen Busch | Pharmacist | 100 S Carol Malone Blvd, Grayson, KY 41143-1352 | 2017-06-28 |
| 1699215830 | Rebecca Hess | Pharmacist | 600 Cw Stevens Blvd, Grayson, KY 41143-2003 | 2017-03-07 |
| 1346642162 | Tommy Dearfield Jr. | Pharmacist | 100 S Carol Malone Blvd, Grayson, KY 41143-1352 | 2014-09-24 |
| 1790199396 | Selina Mullins | Pharmacist | 100 S Carol Malone Blvd, Grayson, KY 41143-1352 | 2014-06-12 |
| Find all providers in GRAYSON | ||||
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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.