KELA O'NEIL PRIMUS (NPI# 1669756870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669756870 |
| Entity Type | Individual |
| Full Name | KELA O'NEIL PRIMUS |
| Credential | PHARMD |
| Practice Address |
2495 Pio Nono Ave Macon GA 31206-2829 |
| Practice Telephone | 4787849747 |
| Mailing Telephone | 4787849747 |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2011-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH022322 | GA | Pharmacy Service Providers |
| Street Address |
2495 PIO NONO AVE |
| City | MACON |
| State | GA |
| Zip Code | 31206-2829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396750501 | Walgreen Co | Pharmacy | 2495 Pio Nono Ave, Macon, GA 31206-2829 | 2006-07-29 |
| 1821373606 | Ekta Rupin Patel | Pharmacist | 2495 Pio Nono Ave, Macon, GA 31206-2829 | 2011-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992267892 | Andel Anthony Higgins | Family Medicine | 3780 Eisenhower Parkway, Macon, GA 31206 | 2019-04-01 |
| 1437651924 | Amanda Mckenzie | Clinic/Center | Us Renal Care 657 Hemlock Street, Macon, GA 31206 | 2018-03-01 |
| 1003337718 | Shantha Tyhessia Jones | Home Health | 2453 Shea Drive, Macon, GA 31206 | 2017-07-03 |
| 1043683527 | Autumn Anderson Lucas | Nurse Practitioner | 100 University Parkway, Macon, GA 31206 | 2015-11-05 |
| 1306273651 | Monique Whipple | Speech-Language Pathologist | 164 Summer Grove Lane, Macon, GA 31206 | 2013-10-02 |
| 1710956750 | Total Renal Care Inc | Clinic/Center | 2494 2nd St, Macon, GA 31206 | 2006-03-14 |
| 1396710828 | Ruth Macphie Hagemann | Counselor | 100 University Pkwy, Macon, GA 31206 | 2006-02-20 |
| 1609861129 | Rickey Harton Jr. | Optometrist | 3353 Mercer University Drive, Macon, GA 31206 | 2005-09-12 |
| 1104453711 | Lise Wendy Forestal | Student in an Organized Health Care Education/Training Program | 3780 Eisenhower Parkway, Macon, GA 31206 | 2020-03-24 |
| 1346702172 | Alayna Dukes | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206 | 2019-04-01 |
| Find all providers in zip 31206 | ||||
| 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 |
|---|---|---|---|---|
| 1417421785 | Clara H Vinh | Pharmacist | 513 Litchfield Dr, Macon, GA 31220-7620 | 2019-01-19 |
| 1558837443 | Kenneth Edo Amayo | Pharmacist | 399 Plantation Way Apt 2420, Macon, GA 31210-9314 | 2018-10-17 |
| 1952706343 | Matthew Wayne Frazier | Pharmacist | 4260 Log Cabin Dr, Macon, GA 31204 | 2014-10-28 |
| 1669875258 | Jennifer Niemeier | Pharmacist | 2587 Nancelon Cir N, Macon, GA 31204-1743 | 2014-09-26 |
| 1306245592 | Pasquale Pietrefesa | Pharmacist | 423 Panorama Pl, Macon, GA 31220-2652 | 2014-08-14 |
| 1194133009 | Patricia Howard | Pharmacist | 156 Tom Hill Senior Blvd, Macon, GA 31210-8014 | 2014-07-24 |
| 1215270442 | Savanah Renee Derossett | Pharmacist | 3990 Riverside Park Blvd, 1108, Macon, GA 31210-1054 | 2013-04-06 |
| 1528305695 | Hollie Elizabeth Hightower | Pharmacist | 195 Tom Hill Sr Blvd, Macon, GA 31210-1816 | 2013-01-09 |
| 1952696585 | Shelita L Baker | Pharmacist | 4685 Presidential Pkwy, T-1379, Macon, GA 31206-8712 | 2011-06-11 |
| 1215236021 | Eleonor S Constantino | Pharmacist | 892 Pierce Ave, Macon, GA 31204-1531 | 2011-03-18 |
| Find all providers in MACON | ||||
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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.