FADEKE JAFOJO (NPI# 1689887192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689887192 |
| Entity Type | Individual |
| Full Name | FADEKE JAFOJO |
| Credential | R.PH. |
| Practice Address |
4248 Gracewood Park Dr Ellenwood GA 30294-2488 |
| Practice Telephone | 6785957485 |
| Mailing Telephone | 6785957485 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 016652 | GA | Pharmacy Service Providers |
| Street Address |
4248 GRACEWOOD PARK DR |
| City | ELLENWOOD |
| State | GA |
| Zip Code | 30294-2488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124323 | Lula Varist Gholson | Counselor | Christian Counselor Ma Lou Gholson, 549 Lamar Drive, Forest Park, GA 30294 | 2019-10-04 |
| 1609428176 | Tykechia Todd | Ambulance | 3644 Caseys Cove, Ellenwood, GA 30294 | 2019-07-15 |
| 1891285243 | Ayana Aqila Thornton | Nurse Practitioner | 5654 Hosea Court, Ellenwood, GA 30294 | 2018-05-11 |
| 1346748837 | Kakethia S. Mack | Nurse Practitioner | 4124 Bosenberry Way, Ellenwood, GA 30294 | 2018-01-30 |
| 1851819312 | Tatiana Marcus | Prosthetist | 3895 Busby Mill Ct., Ellenwood, GA 30294 | 2017-09-05 |
| 1962944991 | Fairview Urgent Care, LLC | Clinic/Center | 4475 West Village Pkwy, Ellenwood, GA 30294 | 2016-11-08 |
| 1982006169 | Kristal Cure | Licensed Practical Nurse | 4057 Madiosn Court, Ellenwood, GA 30294 | 2014-09-19 |
| 1801233515 | 1st Class Learning and Performing Arts | Local Education Agency (LEA) | 5474 Platte Dr, Ellenwood, GA 30294 | 2013-06-04 |
| 1235480138 | Life Wellness Group of Atlanta | Home Delivered Meals | 145 Wilhemina Drive, Ellenwood, GA 30294 | 2012-10-02 |
| 1346548450 | William K Holley IIi | Counselor | 2732 Holly Berry Dr, Ellenwood, GA 30294 | 2011-03-14 |
| Find all providers in zip 30294 | ||||
| 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 |
|---|---|---|---|---|
| 1982224374 | Ashlee Eltayeb | Pharmacist | 5561 Luther Ct, Ellenwood, GA 30294-3885 | 2020-04-25 |
| 1255783601 | Narria Mathews | Pharmacist | 2615 Brittany Park Ln, Ellenwood, GA 30294-6276 | 2016-07-11 |
| 1639473283 | Pashuen M Cobb | Pharmacist | 3436 Sugar Creek Cv, Ellenwood, GA 30294-1084 | 2010-12-22 |
| 1144482365 | Levette Fleming | Pharmacist | 151 Milam Dr, Ellenwood, GA 30294-2975 | 2008-06-29 |
| 1154546455 | Marlon Tyner | Pharmacist | 4083 Smithfield Trl, Ellenwood, GA 30294-1655 | 2007-04-13 |
| 1710389598 | Saidi Salawu | Pharmacist | 315 Fairview Rd, Ellenwood, GA 30294-2634 | 2014-09-23 |
| 1619253796 | Nicole Chambers | Pharmacist | 315 Fairview Rd, Ellenwood, GA 30294-2634 | 2011-11-02 |
| 1376823914 | Dwight D Hayes | Pharmacist | 315 Fairview Rd, Ellenwood, GA 30294-2634 | 2011-08-26 |
| 1013213214 | Marian L Terry | Pharmacist | 3436 Sugar Creek Cv, Ellenwood, GA 30294-1084 | 2011-02-04 |
| 1154592178 | Helen Iyaibiboima Abere | Pharmacist | 101 Fairview Rd, Ellenwood, GA 30294-2722 | 2008-03-18 |
| Find all providers in ELLENWOOD | ||||
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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.