DAVID LOGAN BEASLEY (NPI# 1720687775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720687775 |
| Entity Type | Individual |
| Full Name | DAVID LOGAN BEASLEY |
| Practice Address |
322 Mall Blvd Savannah GA 31406-4724 |
| Practice Telephone | 9122009165 |
| Mailing Telephone | 9122009165 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PH42693 | SC | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH025756 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790139103 | David Beasley | Registered Nurse | 455 Winn Way, Decatur, GA 30030-1707 | 2016-04-21 |
| 1649570656 | David Beasley | Counselor | 408 W University Ave, Ste 401a, Gainesville, FL 32601-3248 | 2010-10-25 |
| 1215936893 | David Beasley | Nurse Anesthetist, Certified Registered | 110 29th Ave N, Ste 202, Nashville, TN 37203-1401 | 2005-07-18 |
| Street Address |
322 MALL BLVD |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31406-4724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324042 | Magnolia Home Health, LLC Dba Home Instead Senior Care | Homemaker | 6709 Forest Park Drive, Suite B, Savannah, GA 31406 | 2020-04-08 |
| 1831737949 | Sumona Mitchell | Specialist | 1100 Eisenhower Drive 15, Suite 7, Savannah, GA 31406 | 2019-12-19 |
| 1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
| 1114578820 | Kenya Burns | Technician | 6 Castle Ct, Savannah, GA 31406 | 2019-09-24 |
| 1841755287 | Southside Emergency Dental Center LLC | Dentist | 10515 White Bluff Rd., Savannah, GA 31406 | 2019-02-08 |
| 1639651003 | Rachael Putman | Physical Therapist | 37 W Fairmont Ave Suite 323, Savannah, GA 31406 | 2018-09-03 |
| 1417439852 | Happy Kids Therapies, LLC | Physical Therapist | 37 W. Fairmont Avenue Suite 102, Savannah, GA 31406 | 2018-09-01 |
| 1487146619 | Georgia Occmed LLC | Clinic/Center | 310 Eisenhower Dr Bldg 12 Ste C, Savannah, GA 31406 | 2018-06-04 |
| 1023517505 | Antioch Vascular Center, LLC | Surgery | 9104 Middleground Road, Suite 2, Savannah, GA 31406 | 2018-02-09 |
| 1518496116 | Janay C Russell | Counselor | 6711 Forest Park Drive, Savannah, GA 31406 | 2017-06-07 |
| Find all providers in zip 31406 | ||||
| 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 |
|---|---|---|---|---|
| 1720626047 | Melissa Johnson | Pharmacist | 5313 Paulsen St, Savannah, GA 31405-4800 | 2019-12-17 |
| 1902404734 | Stacey Wendling | Pharmacist | 7 Diamond Cswy, Savannah, GA 31406-7416 | 2020-10-14 |
| 1205469590 | Shannon Thomas | Pharmacist | 495 Johnny Mercer Blvd, Savannah, GA 31410-2123 | 2020-02-15 |
| 1588295927 | Jimmy Lee Williams | Pharmacist | 318 Mall Blvd Ste 100, Savannah, GA 31406-4758 | 2020-02-03 |
| 1952932790 | Whitney Reed | Pharmacist | 311 E Gwinnett St, Savannah, GA 31401-5808 | 2020-01-30 |
| 1376174110 | Kelsey Adams | Pharmacist | 311 E Gwinnett St, Savannah, GA 31401-5808 | 2020-01-30 |
| 1255962080 | Nguyen T Nguyen | Pharmacist | 1900 E Victory Dr, Savannah, GA 31404-3713 | 2020-01-30 |
| 1811527666 | Savannah Epperley | Pharmacist | 318 Mall Blvd Ste 100, Savannah, GA 31406-4758 | 2020-01-21 |
| 1790315810 | Christopher Alan Martin | Pharmacist | 5720 Ogeechee Rd, Savannah, GA 31405-9503 | 2020-01-16 |
| 1073153227 | Linda S Coleman | Pharmacist | 495 Johnny Mercer Blvd, Savannah, GA 31410-2123 | 2020-01-15 |
| Find all providers in SAVANNAH | ||||
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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.