DR. JASON MITCHEL VANLANDINGHAM (NPI# 1801058185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801058185 |
| Entity Type | Individual |
| Full Name | DR. JASON MITCHEL VANLANDINGHAM |
| Credential | PHARMD |
| Practice Address |
2604 Peach Orchard Rd Augusta GA 30906-2406 |
| Practice Telephone | 7067985645 |
| Practice Fax Number | 7067980377 |
| Mailing Telephone | 7067985645 |
| Mailing Fax Number | 7067980377 |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2008-06-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH021313 | GA | Pharmacy Service Providers |
| Street Address |
2604 PEACH ORCHARD RD |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30906-2406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447251731 | David Daniel Pope | Pharmacist | 2604 Peach Orchard Rd, Augusta, GA 30906-2406 | 2005-08-09 |
| 1134692130 | Kaitlyn Lord | Pharmacist | 2604 Peach Orchard Rd, Augusta, GA 30906-2406 | 2019-01-02 |
| 1831662824 | Haylee Gamblin | Pharmacist | 2604 Peach Orchard Rd, Augusta, GA 30906-2489 | 2019-01-02 |
| 1134691447 | Lynn M Mcgahee | Pharmacist | 2604 Peach Orchard Rd, Augusta, GA 30906-2406 | 2018-12-27 |
| 1255801676 | Morgan Enlow | Pharmacist | 2604 Peach Orchard Rd, Augusta, GA 30906-2489 | 2018-11-28 |
| 1558769182 | Ashley Firm | Pharmacist | 2604 Peach Orchard Rd, Augusta, GA 30906-2406 | 2014-12-14 |
| 1649612789 | Emily Koutroulakis | Pharmacist | 2604 Peach Orchard Rd, Augusta, GA 30906-2489 | 2013-07-17 |
| 1962755454 | Andrew R Hochradel | Pharmacist | 2604 Peach Orchard Rd, Augusta, GA 30906-2406 | 2012-10-21 |
| 1386923902 | John Anthony Galdo | Pharmacist | 2604 Peach Orchard Rd, Augusta, GA 30906-2406 | 2011-08-13 |
| 1053580993 | Brent Hudson | Pharmacist | 2604 Peach Orchard Rd, Augusta, GA 30906-2406 | 2008-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255969432 | Barton Chapel Dental Group, LLC | Dentist | 2755 Barton Chapel Road, Augusta, GA 30906 | 2020-04-01 |
| 1255897419 | Pediatric Mobility Innovations | Durable Medical Equipment & Medical Supplies | 3114 Augusta Tech Drive Suite 404, Augusta, GA 30906 | 2019-02-13 |
| 1023539731 | Kristy Lee Gibbs | Registered Nurse | 3421 Mike Padgett Hwy Bldg C, Augusta, GA 30906 | 2017-07-03 |
| 1194186031 | Clifton Nane Williams | Counselor | 3230 Hampton Circle, Augusta, GA 30906 | 2016-03-18 |
| 1376929661 | Catherine A. Ganzy | Social Worker | 3405 Mike Padgett Highway; Building 201, East Central Regional Hosptial, Augusta, GA 30906 | 2015-08-10 |
| 1962810358 | Fatemeh Azadeh Paziraei | Dentist | 1631 Gordon Highway, Augusta Smiles Youth Dentistry, Augusta, GA 30906 | 2014-07-29 |
| 1568809770 | Brandon Jennings | Occupational Therapy Assistant | 2388 Old Mcduffie Rd, Augusta, GA 30906 | 2013-05-29 |
| 1811266646 | Eddie P Johnson IIi, Dmd, PC | Preferred Provider Organization | 2755 Barton Chapel Rd, Augusta, GA 30906 | 2011-12-23 |
| 1366739021 | Kerensa A Cooks | Registered Nurse | 3421 Mike Padgett Highway, Serenity Behavioral Health Systems, Augusta, GA 30906 | 2011-07-01 |
| 1265737423 | Pidcock Chiropractic, Inc. | Chiropractor | 3028 Peach Orchard Rd., Augusta, GA 30906 | 2011-01-20 |
| Find all providers in zip 30906 | ||||
| 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 |
|---|---|---|---|---|
| 1316276033 | Susan Christine Fagan | Pharmacist | Hm 1220 1120 15th Street, University of Georgia College of Pharmacy, Augusta, GA 30912 | 2009-12-08 |
| 1609491281 | Melinda Kezer Drylie | Pharmacist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-06-10 |
| 1669009619 | Dalton Nuse | Pharmacist | 1510 Ohio St, Augusta, KS 67010-2189 | 2020-03-26 |
| 1740787472 | Katherine Donnan | Pharmacist | 1 Freedom Way, Augusta, GA 30904-6258 | 2018-04-09 |
| 1396244034 | Reid Wallace Griffin | Pharmacist | 1537 Walton Way, Augusta, GA 30904-3764 | 2018-02-08 |
| 1619499910 | Chantheara Long | Pharmacist | 1 Va Ctr, Augusta, ME 04330-6719 | 2017-07-09 |
| 1457726663 | Sudharsan Periyasamy Thandavan | Pharmacist | 2744 Washington Rd, Augusta, GA 30909-2218 | 2015-12-14 |
| 1902274921 | Anishka Walker | Pharmacist | 950 15th St, Charlie Norwood Vamc - Pharmacy Department, Augusta, GA 30901-2608 | 2015-09-08 |
| 1073992020 | Kathleen Cleary | Pharmacist | 1 Va Ctr, Augusta, ME 04330-6719 | 2015-05-22 |
| 1477946531 | Amber Ladak | Pharmacist | 1120 15th St, Augusta, GA 30912-0004 | 2015-03-13 |
| Find all providers in AUGUSTA | ||||
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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.