DR. BRINDA DESSUIT AHIAYIBOR (NPI# 1831350115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831350115 |
| Entity Type | Individual |
| Full Name | DR. BRINDA DESSUIT AHIAYIBOR |
| Credential | PHARM. D. |
| Practice Address |
200 Industrial Blvd Dublin GA 31021-2981 |
| Mailing Address |
200 Industrial Blvd P.o. Box 1408 Dublin GA 31021-2981 |
| Practice Telephone | 4782743145 |
| Practice Fax Number | 4782743476 |
| Mailing Telephone | 4782743145 |
| Mailing Fax Number | 4782743476 |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2008-06-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
015716 | GA | Pharmacy Service Providers |
| Street Address |
200 INDUSTRIAL BLVD |
| City | DUBLIN |
| State | GA |
| Zip Code | 31021-2981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508855321 | George P. Forsyth | Specialist | 200 Industrial Blvd, Dublin, GA 31021-2981 | 2005-10-14 |
| 1891309357 | James Cullen Todd | Nurse Practitioner | 200 Industrial Blvd, Dublin, GA 31021-2997 | 2020-09-02 |
| 1780245969 | Aja Stokes | Dietitian, Registered | 200 Industrial Blvd, Dublin, GA 31021-2981 | 2019-06-27 |
| 1801453832 | April Alleyne Wood | Nurse Practitioner | 200 Industrial Blvd, Dublin, GA 31021-2981 | 2019-05-24 |
| 1700366150 | Southeast Pain LLC | Anesthesiology | 200 Industrial Blvd, Dublin, GA 31021-2981 | 2018-08-15 |
| 1861982670 | Charity Rena Joiner | Family Medicine | 200 Industrial Blvd, Dublin, GA 31021-2997 | 2018-05-16 |
| 1871091694 | Allyson Deanne Brown | Nurse Practitioner | 200 Industrial Blvd, Dublin, GA 31021-2981 | 2018-01-26 |
| 1538680343 | Sarah Hazim Al Mansi | Internal Medicine | 200 Industrial Blvd, Dublin, GA 31021-2981 | 2017-06-30 |
| 1740728823 | Julie Pettis | Nurse Practitioner | 200 Industrial Blvd, Dublin, GA 31021-2981 | 2017-02-08 |
| 1265897045 | Pdk Radiology LLC | Radiology | 200 Industrial Blvd, Dublin, GA 31021-2981 | 2015-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497213748 | Ronald E. Johnson | Peer Specialist | Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 | 2019-03-06 |
| 1902384811 | Nieka Jackson | Pharmacist | 75 Woodlawn Dr, Apt. C-1, Dublin, GA 31021 | 2018-08-02 |
| 1407341522 | Empower Psychiatry & Weight Loss, LLC | Nurse Practitioner | 112 Rowe St Ste B, Dublin, GA 31021 | 2018-06-30 |
| 1619462207 | Kara Emily Frost | Speech-Language Pathologist | 1406 Bellevue Rd, Dublin, GA 31021 | 2018-06-26 |
| 1376035410 | Owens Speech Services, LLC | Speech-Language Pathologist | 401 Barfield Court, Dublin, GA 31021 | 2018-06-05 |
| 1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
| 1376991000 | Eatonton Facility Development Company, LLC | Hospice, Inpatient | 155 Greensboro Rd, Eatonton, GA 31021 | 2016-06-03 |
| 1801261177 | Jones Community Health Center, LLC | Clinic/Center | 115 Shadow Pond, Dublin, GA 31021 | 2015-12-11 |
| 1508237561 | Cancer Center of Middle Georgia | Specialist | 26 Erin Office Park, Dublin, GA 31021 | 2015-10-15 |
| 1922477249 | Mickey Jackson | Non-emergency Medical Transport (VAN) | 610 John Robinson Tl., Dublin, GA 31021 | 2015-09-16 |
| Find all providers in zip 31021 | ||||
| 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 |
|---|---|---|---|---|
| 1043840127 | Merinda Mason Lee | Pharmacist | 1100 Hillcrest Pkwy, Dublin, GA 31021-4366 | 2020-01-17 |
| 1194253583 | Michael R Lux | Pharmacist | 555 Metro Pl N Ste 325, Dublin, OH 43017-5341 | 2017-05-30 |
| 1568990380 | Calandra L Glanton | Pharmacist | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2017-05-24 |
| 1710356340 | Lauren A Kirk | Pharmacist | 3900 Stoneridge Ln Ste B, Dublin, OH 43017 | 2015-09-24 |
| 1548691413 | Rx-consultant, LLC | Pharmacist | 7182 Donnybrook Dr, Dublin, OH 43017-2402 | 2013-12-03 |
| 1306276050 | Rx-consultant, LLC | Pharmacist | 7182 Donnybrook Dr, Dublin, OH 43017-2402 | 2013-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445747 | Hiep Hoang Do | Pharmacist | 801 Burns Estates Dr, Lilburn, GA 30047-3484 | 2020-10-17 |
| 1518565902 | Edward Edeh | Pharmacist | 1232 South Hairstoh Road, Stone Mountain, GA 30088 | 2020-10-16 |
| 1548868342 | Jackson Gathuru Ngugi | Pharmacist | 193 Anniversary Ln, Acworth, GA 30102-2045 | 2020-10-14 |
| 1568086494 | Lynn Berner Marshall | Pharmacist | 3823 Club Forest Dr, Peachtree Corners, GA 30092-2369 | 2020-06-06 |
| 1295357325 | Rhonda Ireland | Pharmacist | 125 Main Street Marketplace, Cartersville, GA 30120 | 2020-05-12 |
| 1073132676 | Khushboo S Rhodes | Pharmacist | 3101 Roswell Rd Ste 132, Marietta, GA 30062-5523 | 2020-04-14 |
| 1194354647 | Deanna W Mcewen | Pharmacist | 1720 Epps Bridge Road, Athens, GA 30606-6132 | 2020-04-06 |
| 1104452663 | Latrena Solomon | Pharmacist | 1750 Highway 138 E, Stockbridge, GA 30281-2810 | 2020-03-17 |
| 1497389597 | Rx Healthcare Ltd | Pharmacist | 2136 W Park Ct Ste I, Stone Mountain, GA 30087-3528 | 2020-02-27 |
| 1972136273 | Shannon Sulik | Pharmacist | 774 Highway 96, Bonaire, GA 31005-3300 | 2020-02-15 |
| Find all providers with the same taxonomy | ||||
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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.