MR. GEORGE VARGHESE


Address: 1708 Pucketts Dr Sw, Lilburn, GA 30047-5617
Phone: 4044212500

MR. GEORGE VARGHESE (NPI# 1730458803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730458803
Entity Type Individual
Full Name MR. GEORGE VARGHESE
Credential RPH
Practice Address 1708 Pucketts Dr Sw
Lilburn
GA 30047-5617
Mailing Address 18 Hampton Ave
Yonkers
NY 10710-3110
Practice Telephone 4044212500
Mailing Telephone 4044212500
Enumeration Date 2011-12-20
Last Update Date 2011-12-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 052403-1 NY Pharmacy Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY PHARMACIST 052403-1 01

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1912226507 George Ipe Varghese Dermatology 1305 York Ave, 9th Floor, New York, NY 10021-5663 2010-05-22
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1891951935 George Varghese Dentist 3010 Lbj Fwy Ste 200, Dallas, TX 75234-2723 2008-07-29
1801078647 George P Varghese Physician Assistant 475 Seaview Ave, Staten Island, NY 10305-3436 2007-12-04
1598955205 George A Varghese Dentist 13241 Bartram Park Blvd, Suite #401, Jacksonville, FL 32258-5212 2007-07-29
1154488989 George Varghese Social Worker 3309 S Kingshighway Blvd, Saint Louis, MO 63139-1101 2007-01-02
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Office Location

Street Address 1708 PUCKETTS DR SW
City LILBURN
State GA
Zip Code 30047-5617

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750861217 Latrina S Walden Nurse Practitioner 887 Ryan Lane, Lilburn, GA 30047 2018-08-15
1811483928 Olivia Oyegunle Optometrist 4153 Lawrenceville Hwy Nw Ste 5, Lilburn, GA 30047 2018-07-02
1932619285 Mpm Creative, LLC Speech-Language Pathologist 1560 Hewatt Rd, Lilburn, GA 30047 2017-10-01
1528515186 Smith Dental Care of Lilburn, Inc. Dentist 3100 Five Forks Trickham Rd Suite 201, Lilburn, GA 30047 2016-09-01
1891143244 Choices Behavioral Alternatives Counselor 4037 Darling Court, Suite B, Lilburn, GA 30047 2016-05-26
1235595687 Georgia Dental Associates Clinic/Center 3100 Five Forks Trickum Road Suite 201, Lilburn, GA 30047 2016-01-14
1912382144 Sangeetha Asokan Dentist 609, Beaver Ruin Road, Tebo Dental for Kids, Lilburn, GA 30047 2015-07-29
1467836403 Pamela Neal Registered Nurse 3315 Landingview Ct, Lilburn, GA 30047 2015-07-18
1699172452 Josie Kou, Kulah Curran Registered Nurse 3708 Tamer Ln, Lilburn, GA 30047 2014-11-21
1184039380 Cheryl Lee Chiropractor 5014 Stone Mountain Hwy, Suite C, Lilburn, GA 30047 2014-06-25
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093315053 Nrupesh Desai Pharmacist 3570 Terrasol Trl Sw, Lilburn, GA 30047-2412 2020-10-29
1003439464 Le Trac Pharmacist 4358 Burns Rd Nw, Lilburn, GA 30047-3596 2020-05-20
1093288722 Manoj Pradhan Pharmacist 4051 Stone Mountain Hwy Ste D101, Lilburn, GA 30047-3364 2019-01-04
1831662782 Yen Hoang Duong Pharmacist 838 Burns Estates Dr, Lilburn, GA 30047-3482 2019-01-03
1508231390 Eshetu Geme Pharmacist 688 Tom Smith Rd Sw, Lilburn, GA 30047-2201 2015-12-06
1023453537 Vilsi C Russell Pharmacist 5575 Grove Place Xing Sw, Lilburn, GA 30047-6550 2013-05-10
1548605207 Paris Street Jr. Pharmacist 638 Haralson Dr Sw, Lilburn, GA 30047-5365 2013-05-07
1043577653 Debra S Halbig Pharmacist 5760 Four Winds Dr Sw, Lilburn, GA 30047-6420 2012-04-19
1831473479 Deepa E Chacko Pharmacist 4235 Lawrenceville Hwy, Lilburn, GA 30047 2011-09-30
1255613907 Shacresa D Staley Pharmacist 4235 Lawrenceville Hwy Nw, Lilburn, GA 30047-3427 2011-09-19
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Competitor

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City LILBURN
Zip Code 30047

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Dataset Information

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.

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