PATRENICE THOMAS (NPI# 1699306134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699306134 |
Entity Type | Individual |
Full Name | PATRENICE THOMAS |
Credential | PHARMD |
Practice Address |
4321 Hartley Bridge Rd Macon GA 31216-5641 |
Practice Telephone | 4787881015 |
Mailing Telephone | 4787881015 |
Enumeration Date | 2020-02-03 |
Last Update Date | 2020-02-03 |
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 |
RPH021316 | GA | Pharmacy Service Providers |
Street Address |
4321 HARTLEY BRIDGE RD |
City | MACON |
State | GA |
Zip Code | 31216-5641 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568496305 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 4321 Hartley Bridge Rd, Macon, GA 31216-5641 | 2006-07-10 |
1215560123 | Jennifer Anne Mcculley | Pharmacist | 4321 Hartley Bridge Rd, Macon, GA 31216-5641 | 2020-02-19 |
1962033308 | Donald Allen Cooper | Pharmacist | 4321 Hartley Bridge Rd, Macon, GA 31216-5641 | 2020-02-03 |
1386193571 | Tlc of Georgia LLC | Physician Assistant | 4321 Hartley Bridge Rd, Macon, GA 31216-5641 | 2016-09-28 |
1639524002 | Anjanean Jackson | Nurse Practitioner | 4321 Hartley Bridge Rd, Macon, GA 31216-5641 | 2016-05-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578125282 | Georgia Treatment Services | Clinic/Center | 6132 Hawkinsvill Road, Macon, GA 31216 | 2019-07-02 |
1720495898 | Erma Wells Heard | Nurse Practitioner | 217 Pendleton Ct., Macon, GA 31216 | 2014-07-21 |
1881959518 | Leigh Underwood Bennett | Dentist | 4226 Hartley Bridge Rd Ste 102, Macon, GA 31216 | 2012-07-09 |
1295980456 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 4585 Hartley Bridge Rd., Macon, GA 31216 | 2008-12-01 |
1013083336 | Rutland Medical Supply | Durable Medical Equipment & Medical Supplies | 3035 Hartley Bridge Road, Suite 2, Macon, GA 31216 | 2006-11-28 |
1477074318 | Hollie K Bradley | Nurse Practitioner | 4310 Hartley Bridge Rd, Macon, GA 31216 | 2017-06-30 |
1104206713 | Hartley Bridge Family Dentistry | Dentist | 4226 Hartley Bridge Rd Ste 102, Macon, GA 31216 | 2015-06-09 |
1144432048 | Family Specialty Care LLC | Family Medicine | 4310 Hartley Bridge Rd, Macon, GA 31216 | 2007-05-04 |
1164598710 | Kirsten J Hampton | Family Medicine | 4310 Hartley Bridge Rd, Macon, GA 31216 | 2006-11-27 |
1063588614 | Cameka N Scarborough | Family Medicine | 4310 Hartley Bridge Rd, Macon, GA 31216 | 2006-11-27 |
Find all providers in zip 31216 |
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 |
---|---|---|---|---|
1326647116 | Angela Travis Joslin | Pharmacist | 4628 Presidential Pkwy, Macon, GA 31206-8708 | 2020-10-22 |
1205434008 | Darla Daniel Moughon | Pharmacist | 220 Tom Hill Sr Blvd, Macon, GA 31210-1815 | 2020-10-14 |
1376168435 | Marsha Kapiloff | Pharmacist | 220 Tom Hill Sr Blvd, Macon, GA 31210-1815 | 2020-06-14 |
1336764828 | Sally Brown | Pharmacist | 3576 Pio Nono Ave, Macon, GA 31206-3036 | 2020-06-10 |
1629697651 | Jamie Hopkins Adair | Pharmacist | 5928 Zebulon Rd, Macon, GA 31210-2097 | 2020-04-09 |
1922634963 | Annette S Rowland | Pharmacist | 660 North Ave, Macon, GA 31211-1494 | 2020-03-22 |
1871127886 | Michael Bower | Pharmacist | 660 North Ave, Macon, GA 31211-1494 | 2020-02-28 |
1093349219 | Dennis Malto | Pharmacist | 4628 Presidential Pkwy, Macon, GA 31206-8708 | 2020-02-26 |
1215560123 | Jennifer Anne Mcculley | Pharmacist | 4321 Hartley Bridge Rd, Macon, GA 31216-5641 | 2020-02-19 |
1962033308 | Donald Allen Cooper | Pharmacist | 4321 Hartley Bridge Rd, Macon, GA 31216-5641 | 2020-02-03 |
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.