KENDRA MANIGAULT (NPI# 1679917850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679917850 |
| Entity Type | Individual |
| Full Name | KENDRA MANIGAULT |
| Credential | PHARMD |
| Practice Address |
3001 Mercer University Dr Atlanta GA 30341-4115 |
| Mailing Address |
Po Box 984 Moncks Corner SC 29461-0984 |
| Practice Telephone | 8433129190 |
| Mailing Telephone | 8433129190 |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2013-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH025494 | GA | Pharmacy Service Providers |
| Street Address |
3001 MERCER UNIVERSITY DR |
| City | ATLANTA |
| State | GA |
| Zip Code | 30341-4115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689740011 | Jeannette Renee Anderson | Physical Therapist | 3001 Mercer University Dr, Davis Suite 100, Atlanta, GA 30341-4115 | 2006-11-28 |
| 1144832445 | Shayla Monroe | Nurse Practitioner | 3001 Mercer University Dr, Atlanta, GA 30341-4115 | 2020-08-18 |
| 1386285914 | Sara Elizabeth Dover | Physician Assistant | 3001 Mercer University Dr, Atlanta, GA 30341-4115 | 2019-10-04 |
| 1093360091 | Nicholas Orton | Physical Therapist | 3001 Mercer University Dr, Davis Building Suite 106, Atlanta, GA 30341-4115 | 2019-08-06 |
| 1396307609 | Kevin Thomas Philippart | Pharmacist | 3001 Mercer University Dr, Atlanta, GA 30341-4115 | 2019-07-08 |
| 1205490455 | Dorothy Faber | Physician Assistant | 3001 Mercer University Dr, Atlanta, GA 30341-4155 | 2019-04-23 |
| 1326457326 | Clarence Anthony Holmes Jr. | Physical Therapist | 3001 Mercer University Dr, Davis Building Suite 106, Atlanta, GA 30341-4115 | 2014-08-05 |
| 1922419829 | Kathryn Momary | Pharmacist | 3001 Mercer University Dr, Department of Pharmacy Practice, Duvall 148, Atlanta, GA 30341-4115 | 2014-05-13 |
| 1295177947 | Freida Fuller | Nurse Practitioner | 3001 Mercer University Dr, Atlanta, GA 30341-4115 | 2013-07-23 |
| 1205172228 | Yolanda Whitty | Pharmacist | 3001 Mercer University Dr, Atlanta, GA 30341-4115 | 2012-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992207344 | Rabun Marie Robertson | Occupational Therapist | 2320 Perimeter Park Drive, Atlanta, GA 30341 | 2018-03-01 |
| 1568986313 | Charles Edge IIi | Nurse Practitioner | 4770 Buford Highway, Atlanta, GA 30341 | 2017-08-02 |
| 1366971277 | Park Ridge Healthcare and Physical Medicine LLC | Nurse Practitioner | 2896 Chamblee Tucker Road, Suite 4, Atlanta, GA 30341 | 2017-06-06 |
| 1437502937 | Chara Mcgill | Counselor | 13207 Jefferson Circle N, Chamblee, GA 30341 | 2016-07-20 |
| 1982063913 | Stepping Stone of Atlanta | Community/Behavioral Health | 3705 Chamblee Dunwoody Rd, Chamblee, GA 30341 | 2016-02-18 |
| 1013317577 | Marne Day | Counselor | 3720 Chamblee Dunwoody Rd, Chamblee, GA 30341 | 2014-09-02 |
| 1013343680 | Keelan Walker | Speech-Language Pathologist | 4961 Buford Highway Suite 201, Suite 201, Chamblee, GA 30341 | 2013-09-16 |
| 1578901955 | Promonitor LLC | Electrodiagnostic Medicine | 3300 Northwest Expy Bldg 7, Atlanta, GA 30341 | 2013-06-07 |
| 1639415359 | Lawanda B Cooke | Health Educator | 5280 Peachtree Ind Blvd, Chamblee, GA 30341 | 2012-12-28 |
| 1457602773 | Arthur Macrae Wendel | Family Medicine | 4770 Buford Hwy Ms F60, Atlanta, GA 30341 | 2012-09-26 |
| Find all providers in zip 30341 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346871795 | Marcus Javon Cuffie | Pharmacist | 3559 Chamblee Tucker Rd, Atlanta, GA 30341-4409 | 2020-02-03 |
| 1417587775 | Ngoc Nhi T Che | Pharmacist | 725 Ponce De Leon Ave Ne Ste 100, Atlanta, GA 30306-4300 | 2020-01-24 |
| 1609406461 | Esete Getachew-smith | Pharmacist | 725 Ponce De Leon Ave Ne # 100, Atlanta, GA 30306-4300 | 2020-01-21 |
| 1245870468 | Chinyere Muoka | Pharmacist | 589 Cascade Ave Sw, Atlanta, GA 30310-2407 | 2020-01-15 |
| 1265900419 | Katharine Renee Shaw | Pharmacist | 2232 Addison Pl Nw, Atlanta, GA 30318-3522 | 2018-11-06 |
| 1356828313 | Shin Lee Ly | Pharmacist | 608 Ralph Mcgill Blvd Ne Unit 533, Atlanta, GA 30312-1537 | 2018-07-23 |
| 1326559477 | Shirin Faridian Zadeh | Pharmacist | 560 Tahoma Dr, Atlanta, GA 30350-4000 | 2017-10-17 |
| 1053728279 | Katherine Pleasants | Pharmacist | 701 Highland Ave Ne Apt 2207, Atlanta, GA 30312-1488 | 2014-07-21 |
| 1710268867 | Suzanne Patricia Booth | Pharmacist | 3495 Piedmont Rd. Ne, Bulding 9 Clinical Affairs, Atlanta, GA 30305-1736 | 2011-09-02 |
| 1407136252 | Christine Elizabeth Lord | Pharmacist | 3495 Piedmont Road, Ne, Atlanta, GA 30305-1736 | 2011-08-25 |
| Find all providers in ATLANTA | ||||
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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.