SUSAN IRUKU (NPI# 1801494356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801494356 |
| Entity Type | Individual |
| Full Name | SUSAN IRUKU |
| Practice Address |
12050 Ga-92 #112 Woodstock GA 30189 |
| Mailing Address |
504 Fairway Dr Woodstock GA 30189-6196 |
| Practice Telephone | 7705912895 |
| Mailing Telephone | 4046682334 |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 019209 | GA | Pharmacy Service Providers |
| Street Address |
12050 GA-92 #112 |
| City | WOODSTOCK |
| State | GA |
| Zip Code | 30189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598267437 | Kelly Sierra | Nurse Practitioner | 100 Stoneforest Dr Ste 300, Woodstock, GA 30189 | 2018-03-07 |
| 1548770449 | Chandra Johnson | Nurse Practitioner | 295 Molly Lane Ste 150, Woodstock, GA 30189 | 2017-10-05 |
| 1083133912 | Amanda Bostock Sowisdral | Physician Assistant | 250 Parkbrooke Pl Ste 300, Woodstock, GA 30189 | 2017-09-12 |
| 1780101659 | Laura C Koch Woodstock LLC Dba Fountain View Dentistry | Dentist | 1816 Eagle Drive, Building 200-a, Woodstock, GA 30189 | 2017-08-23 |
| 1265954788 | Vicky Morton Bryan | Nurse Practitioner | 422 Sycamore Trail, Woodstock, GA 30189 | 2017-07-17 |
| 1063933588 | Marietta Eye Clinic, Pa | Optometrist | 2990 Eagle Dr Ste 110, Woodstock, GA 30189 | 2017-07-06 |
| 1275914749 | Nrup Tolat | Podiatrist | 100 Stoneforest Dr Ste 120, Woodstock, GA 30189 | 2015-06-10 |
| 1558781534 | Mary Jansson Carmon | Nurse Practitioner | 1000 Towne Lake Pkwy, Woodstock, GA 30189 | 2014-04-17 |
| 1518388941 | Afc Physicians of Georgia, PC | General Practice | 6440 Bells Ferry Rd, Woodstock, GA 30189 | 2014-01-03 |
| 1659702884 | Dana Dunlap | Physician Assistant | 8814 Hwy 9, 114, Woodstock, GA 30189 | 2013-12-13 |
| Find all providers in zip 30189 | ||||
| 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 |
|---|---|---|---|---|
| 1780283754 | Chuck Page | Pharmacist | 102 Woodside Pl, Woodstock, GA 30188-2369 | 2020-10-21 |
| 1598364648 | James Agler | Pharmacist | 400 Unicoi Ct, Woodstock, GA 30188-3125 | 2020-10-20 |
| 1720686470 | Vanessa W Todd | Pharmacist | 536 Fairway Dr, Woodstock, GA 30189-6197 | 2020-10-14 |
| 1265946156 | Joseph Peter Stroh IIi | Pharmacist | 604 Watersedge Way, Woodstock, GA 30188-5449 | 2017-11-30 |
| 1801341912 | Devaki Patel | Pharmacist | 2106 Bexley Dr, Woodstock, MD 21163-1423 | 2016-08-18 |
| 1467844860 | Ashish Patel | Pharmacist | 10423 Popkins Ct, Woodstock, MD 21163-1316 | 2015-02-23 |
| 1598156556 | Jessica A Welker | Pharmacist | 718 Cedar Creek Way, Woodstock, GA 30189-5139 | 2015-02-12 |
| 1518398601 | Ellen Pulawski | Pharmacist | 350 New Sweden Rd, Woodstock, CT 06281-3218 | 2013-11-27 |
| 1245577212 | Charles Clifton Lee | Pharmacist | 1824 Hardman Ln, Woodstock, GA 30188-3103 | 2013-01-11 |
| 1114289436 | Katelyn Miller Sanders | Pharmacist | 120 W Reservoir Rd, Woodstock, VA 22664-1012 | 2012-06-12 |
| Find all providers in WOODSTOCK | ||||
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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.