MRS. STEPHANIE BROCK (NPI# 1730526401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730526401 |
| Entity Type | Individual |
| Full Name | MRS. STEPHANIE BROCK |
| Practice Address |
2500 Dallas Hwy Sw Marietta GA 30064-2567 |
| Practice Telephone | 7704263256 |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2013-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 016426 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033472204 | Stephanie Ann Brock | Home Health Aide | 5117 C St Se, Washington, DC 20019-6386 | 2012-06-21 |
| 1730309139 | Stephanie Ann Brock | Counselor | 1203 American Greeting Rd, Corbin, KY 40701-4811 | 2007-04-26 |
| Street Address |
2500 DALLAS HWY SW |
| City | MARIETTA |
| State | GA |
| Zip Code | 30064-2567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003905811 | Rina M Mehta | Dentist | 2500 Dallas Hwy Sw, Suite #401, Marietta, GA 30064-2567 | 2006-10-11 |
| 1043681083 | Phu Tran | Pharmacist | 2500 Dallas Hwy Sw, Ste 300, Marietta, GA 30064-2567 | 2015-10-16 |
| 1932446887 | Dexter E Jack | Pharmacist | 2500 Dallas Hwy Sw, Suite 300, Marietta, GA 30064-2567 | 2013-01-12 |
| 1972692499 | Rina M. Mehta, Dmd, PC | Dentist | 2500 Dallas Hwy Sw, Suite #401, Marietta, GA 30064-2567 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833304 | Chelsey Lewis | Pharmacist | 660 Whitlock Ave Sw, Marietta, GA 30064 | 2020-05-21 |
| 1316428527 | Candice Murray | Nurse Practitioner | 2727 Wynford Ave Sw, Marietta, GA 30064 | 2018-08-25 |
| 1427539741 | Emily Dorsey Drew | Nurse Practitioner | 3911 Mary Eliza Trce Nw Ste 200, Marietta, GA 30064 | 2018-08-24 |
| 1649765017 | Julie K Berger | Counselor | 336 Powder Springs St Suite 206, Marietta, GA 30064 | 2018-06-27 |
| 1689175291 | Anthony Bammer | Clinical Exercise Physiologist | 1001 Whitlock Avenue Nw, Marietta, GA 30064 | 2018-02-28 |
| 1831600725 | Dyniecia Barnes | Specialist | 2575 White Haven Dr Sw, Ste 100 / Salon 121, Marietta, GA 30064 | 2017-10-18 |
| 1588173298 | Michelle Ann Stich | Assistant Behavior Analyst | 376 Powder Springs St Ste 130, Marietta, GA 30064 | 2017-09-26 |
| 1194241976 | Namasine Lolice Dalrymple | Counselor | 1708 Peachtree St, Suite 300, Atlanta, GA 30064 | 2017-08-14 |
| 1245760859 | Michael H Mulkey, Dmd PC | Dentist | 3951 Mary Eliza Trace Nw, Suite 200, Marietta, GA 30064 | 2017-06-15 |
| 1700310893 | West Cobb Dentist Office, PC | Dentist | 3805 Dallas Hwy Sw, Suite 804, Marietta, GA 30064 | 2017-04-14 |
| Find all providers in zip 30064 | ||||
| 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 |
|---|---|---|---|---|
| 1831798917 | Barbara Ann Goldschmidt | Pharmacist | 4088 Lower Roswell Rd, Marietta, GA 30068 | 2020-10-20 |
| 1275143380 | Stephanie Diane-hunsley Long | Pharmacist | 1050 E Piedmont Rd Ste P, Marietta, GA 30062-4744 | 2020-08-04 |
| 1043833304 | Chelsey Lewis | Pharmacist | 660 Whitlock Ave Sw, Marietta, GA 30064 | 2020-05-21 |
| 1053947226 | Chettana Sanasith | Pharmacist | 1979 Carithers Way, Marietta, GA 30064-6012 | 2020-03-19 |
| 1356997522 | Jeffry Todd Arthur | Pharmacist | 401 Matthew Street Suite 100, Marietta, OH 45750 | 2019-08-14 |
| 1659837086 | Charnisha Thomas | Pharmacist | 3024 Hidden Forest Ct Unit 5203, Marietta, GA 30066-3155 | 2019-02-11 |
| 1356819502 | Kineta Naidu | Pharmacist | 1040 Brockton Close, Marietta, GA 30068-4924 | 2018-11-06 |
| 1285114843 | Jorg Richard Largent Jr. | Pharmacist | 1761 Chanson Pl, Marietta, GA 30062-2169 | 2018-08-14 |
| 1124506993 | Allison Delancey | Pharmacist | 401 Matthew St Ste 100, Marietta, OH 45750-1635 | 2018-08-02 |
| 1003320326 | Jerrica Lanise Dodd | Pharmacist | 2499 Red Barn Rd Sw, Marietta, GA 30064-4905 | 2017-11-22 |
| Find all providers in MARIETTA | ||||
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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.