HOANG ANH REBECCA PHAN (NPI# 1700404241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700404241 |
| Entity Type | Individual |
| Full Name | HOANG ANH REBECCA PHAN |
| Practice Address |
1160 Johnson Fy Rd Ne Unit 1475 Atlanta GA 30342-2356 |
| Mailing Address |
2600 Delk Rd Se Marietta GA 30067-6202 |
| Practice Telephone | 4049162840 |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2020-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH032091 | GA | Pharmacy Service Providers |
| Street Address |
1160 JOHNSON FY RD NE UNIT 1475 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-2356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| 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 |
|---|---|---|---|---|
| 1093312464 | Gloria Rinomhota | Pharmacist | 25 Peachtree St Sw # Se, Atlanta, GA 30303-3140 | 2020-10-07 |
| 1760098404 | Lisa Ann Mcwhorter Loux | Pharmacist | 57 Executive Park S Ste 400, Atlanta, GA 30329-2249 | 2020-09-18 |
| 1073124178 | Erin Marriott | Pharmacist | 171 17th St Nw Ste 1400, Atlanta, GA 30363-1069 | 2020-08-12 |
| 1447869797 | Caitlyn Sue Elmes | Pharmacist | 756 Bellemeade Ave Nw, Atlanta, GA 30318-3104 | 2020-07-23 |
| 1073130597 | Tri Minh Phan | Pharmacist | 755 Mount Vernon Hwy Ne Ste 450, Atlanta, GA 30328-4292 | 2020-06-30 |
| 1649894411 | Lisa Aquillano | Pharmacist | 12 Executive Park Dr Ne Ste 556, Atlanta, GA 30329-2206 | 2020-06-08 |
| 1417570565 | Raidel Redondo | Pharmacist | 1100 Hammond Dr Ste 500, Atlanta, GA 30328-8191 | 2020-05-23 |
| 1720601255 | Dawn Lieber Sasine | Pharmacist | 164 W Wieuca Rd Ne Ste 7, Atlanta, GA 30342-3231 | 2020-05-19 |
| 1821617119 | Erin Jessica Searles | Pharmacist | 424 Decatur St Se Ste 100, Atlanta, GA 30312-1848 | 2020-04-16 |
| 1184253783 | Tiffany Brenyce Redus | Pharmacist | 3676 Bradford Way, Atlanta, GA 30331-5921 | 2020-04-06 |
| 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.