MR. CHARLES IVERSON STOREY III (NPI# 1821278441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821278441 |
| Entity Type | Individual |
| Full Name | MR. CHARLES IVERSON STOREY III |
| Credential | RPH |
| Practice Address |
145 N Main Ave Pine Mountain GA 31822-2454 |
| Mailing Address |
Po Box A Pine Mountain GA 31822-0500 |
| Practice Telephone | 7066632255 |
| Practice Fax Number | 7066638026 |
| Mailing Telephone | 7066632255 |
| Mailing Fax Number | 7066638026 |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2007-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH010218 | GA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | STATE PHARMACIST LICENSE | RPH010218 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649301433 | Charles Porter Storey Jr. | Internal Medicine | 1835 Franklin Street, Denver, CO 80218-1126 | 2007-03-07 |
| Street Address |
145 N MAIN AVE |
| City | PINE MOUNTAIN |
| State | GA |
| Zip Code | 31822-2454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447280672 | Pine Mountain Pharmacy, Inc | Pharmacy | 145 N Main Ave, Pine Mountain, GA 31822-0500 | 2006-07-04 |
| 1841541869 | Jdf Corporation | Durable Medical Equipment & Medical Supplies | 145 N Main Ave, Pine Mountain, GA 31822-2454 | 2012-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871898676 | Steve Earles | Physical Therapist | 1514 Piedmont Lake Road, Pine Mountain, GA 31822 | 2011-01-26 |
| 1780915165 | Pine Mountain Family Dentistry, LLC | Dentist | 8944 Hamilton Road, Pine Mountain, GA 31822 | 2010-01-25 |
| 1194857813 | Timothy Turco | Psychologist | 107 Broad St., Pine Mountain, GA 31822 | 2007-03-09 |
| 1417944075 | Chattahoochee Valley Hospital Society | Home Health | Us Hwy 27 and 354, 5700 Chipley Village, Pine Mountain, GA 31822-0475 | 2005-09-29 |
| 1255331351 | Mack H Clements | Family Medicine | 211 East Broad St, Pine Mountain, GA 31822-0516 | 2005-07-29 |
| 1801083134 | Clements Professional Association Pine Mountain | General Practice | 211 East Broad St, Pine Mountain, GA 31822-0516 | 2007-10-01 |
| 1700859840 | Grady Glenn Barnwell Jr. | Obstetrics & Gynecology | 217 W Harris St, Pine Mountain, GA 31822-1149 | 2006-02-09 |
| 1538382171 | Pine Mountain Eye Care | Optometrist | 414 S Main Ave, Pine Mountain, GA 31822-2355 | 2007-04-11 |
| 1427122951 | Jeffery A. Russell | Chiropractor | 624 N Main Ave, Pine Mountain, GA 31822-2403 | 2006-11-17 |
| 1023201217 | Pine Mountain Chiropractic Center, LLC | Clinic/Center | 624 N Main Ave, Pine Mountain, GA 31822-2403 | 2007-08-22 |
| Find all providers in zip 31822 | ||||
| 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 |
|---|---|---|---|---|
| 1770768517 | Malcolm Tatum | Pharmacist | 27 White Oak Pt, Pine Mountain, GA 31822-3523 | 2007-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538103 | Agatha Nonye Okoye | Pharmacist | 5300 Bridle Point Pkwy, Snellville, GA 30039-2715 | 2020-11-05 |
| 1861093155 | Mohamed J Bah | Pharmacist | 2965 Olivine Dr, Dacula, GA 30019-7646 | 2020-11-04 |
| 1841891249 | Himanshu Haridutt Desai | Pharmacist | 30983 Us-441 S, Commerce, GA 30529 | 2020-11-03 |
| 1720689219 | Olubunmi Adeniyi | Pharmacist | 524 Serene Waters Trl, Jonesboro, GA 30236-5495 | 2020-11-03 |
| 1174124572 | Jessica Rodriguez New | Pharmacist | 2892 Browns Bridge Road, Gainesville, GA 30504 | 2020-11-03 |
| 1063013613 | John Ellis Iv | Pharmacist | 135 Rudders Xing, Newnan, GA 30263-7032 | 2020-11-02 |
| 1992306591 | Connie Deverell Tam | Pharmacist | Walmart Pharmacy #1658, 2205 Harrison Rd, Thomson, GA 30824 | 2020-11-02 |
| 1922608520 | Sylvia Adams | Pharmacist | 1173 W Briar Gate Ct, Riverdale, GA 30296-3378 | 2020-11-01 |
| 1417557000 | Birtukan Tsegaye | Pharmacist | 2715 Henderson Rd, Tucker, GA 30084-2432 | 2020-10-31 |
| 1528668175 | Vishwa Patel | Pharmacist | 3604 Bellhaven Dr, Valdosta, GA 31605-1210 | 2020-10-31 |
| Find all providers with the same taxonomy | ||||
| City | PINE MOUNTAIN |
| Zip Code | 31822 |
Please comment or provide details below to improve the information on MR. CHARLES IVERSON STOREY III.
| 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.