MR. VICTOR RAY VOISELLE (NPI# 1912451246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912451246 |
| Entity Type | Individual |
| Full Name | MR. VICTOR RAY VOISELLE |
| Credential | RPH. |
| Practice Address |
114 B Parker Ave Brooklet GA 30415-0215 |
| Mailing Address |
Po Box 2087 Statesboro GA 30459-2087 |
| Practice Telephone | 9128429886 |
| Practice Fax Number | 9128429890 |
| Mailing Telephone | 9127648234 |
| Mailing Fax Number | 9124894109 |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2016-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH019513 | GA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | PHARMACIST IN CHARGE | PHRE008690 | 01 |
| GA | STATE PHARMACIST LICENSE | RPH019513 | 01 |
| GA | 002868998 | 05 |
| Street Address |
114 B PARKER AVE |
| City | BROOKLET |
| State | GA |
| Zip Code | 30415-0215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609819804 | Walker Pharmacy and Gifts, Inc. | Pharmacy | 114 B Parker Ave, Brooklet, GA 30415-0215 | 2006-06-14 |
| 1447707088 | Kaitlin Brannen | Pharmacist | 114 B Parker Ave, Brooklet, GA 30415 | 2016-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659422145 | Home Health Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 121 Parker Ave., Brooklet, GA 30415 | 2007-01-13 |
| 1750319463 | Rene B Childree | Family Medicine | 128 North Parker Ave, Brooklet, GA 30415 | 2006-06-29 |
| 1811049679 | Bohler Family Practice PC | Clinic/Center | 128 North Parker Ave, Brooklet, GA 30415 | 2007-01-18 |
| 1225141997 | William Scott Bohlke | Family Medicine | 128 North Parker Avenue, Brooklet, GA 30415-0487 | 2006-08-16 |
| 1003800947 | Caroline U Bowman | Speech-Language Pathologist | 3300 Lang Ln, Brooklet, GA 30415-5775 | 2005-09-07 |
| 1225580806 | Marla Jean Riley | Nurse Practitioner | 118 Tall Timbers Ln, Brooklet, GA 30415-5985 | 2016-10-28 |
| 1982141834 | Janet Kathleen Scott | Counselor | 114 Summer Wind Pl, Brooklet, GA 30415-6090 | 2017-01-30 |
| 1538452461 | Stacy Anne Davis | Case Manager/Care Coordinator | 107 Summer Wind Pl, Brooklet, GA 30415-6090 | 2011-05-25 |
| 1396021630 | Donna L Ramirez | Physical Therapist | 1614 Colony Ln, Brooklet, GA 30415-6173 | 2011-11-01 |
| 1407257835 | Phillip Volkert | Registered Nurse | 1233 Brooklet South Dr, Brooklet, GA 30415-6469 | 2014-09-04 |
| Find all providers in zip 30415 | ||||
| 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 |
|---|---|---|---|---|
| 1447707088 | Kaitlin Brannen | Pharmacist | 114 B Parker Ave, Brooklet, GA 30415 | 2016-09-01 |
| 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 | ||||
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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.