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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 052403-1 | NY | Pharmacy Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | PHARMACIST | 052403-1 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437700234 | George Varghese | Internal Medicine | 17901 Governors Hwy Ste 206, Homewood, IL 60430-1146 | 2019-09-23 |
1588114797 | George Varghese | Pharmacist | 13124 Rockaway Blvd, Park Health Pharmacy, South Ozone Park, NY 11420-2932 | 2016-10-12 |
1881981405 | George John Varghese | Family Medicine | 1330 Powell St, Suite 409, Norristown, PA 19401-3353 | 2011-07-04 |
1912226507 | George Ipe Varghese | Dermatology | 1305 York Ave, 9th Floor, New York, NY 10021-5663 | 2010-05-22 |
1538311949 | George Varghese | Pharmacist | 79-25 Winchester Blvd, Queens Village, NY 11427 | 2008-10-16 |
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 |
1164524286 | George Varghese | Physical Medicine & Rehabilitation | 3901 Rainbow Blvd, G018 Murphy Mailstop 1046, Kansas City, KS 66160-0001 | 2006-09-01 |
Street Address |
1708 PUCKETTS DR SW |
City | LILBURN |
State | GA |
Zip Code | 30047-5617 |
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 |
Find all providers in zip 30047 |
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 |
---|---|---|---|---|
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 |
Find all providers in LILBURN |
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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.