DR. ALICIA BEATRIX ELAM (NPI# 1932407202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932407202 |
| Entity Type | Individual |
| Full Name | DR. ALICIA BEATRIX ELAM |
| Credential | PHARM.D. |
| Practice Address |
3650 Wheeler Rd Augusta GA 30909-6520 |
| Mailing Address |
2930 Mayfair Rd Augusta GA 30909-3569 |
| Practice Telephone | 7062107991 |
| Mailing Telephone | 7063942187 |
| Mailing Fax Number | 7069559773 |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2011-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 12058 | SC | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | RPH018336 | GA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | SC PHARMACY LICENSE | 12058 | 01 |
| GA | PHARMACY LICENSE | RPH018336 | 01 |
| Street Address |
3650 WHEELER RD |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30909-6520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932665700 | June Lee | Pharmacist | 3650 Wheeler Rd, Augusta, GA 30909-6520 | 2019-02-15 |
| 1083131262 | Michelle Mui-xian Aw | Pharmacist | 3650 Wheeler Rd, Augusta, GA 30909-6520 | 2017-08-28 |
| 1841716586 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3650 Wheeler Rd, Augusta, GA 30909-6520 | 2017-08-15 |
| 1811445596 | Shaun Soderstrom | Pharmacist | 3650 Wheeler Rd, Augusta, GA 30909-6520 | 2016-09-12 |
| 1972953123 | Daniel Fogal | Pharmacist | 3650 Wheeler Rd, Augusta, GA 30909-6520 | 2016-06-20 |
| 1497109169 | Anthony Que | Pharmacist | 3650 Wheeler Rd, Augusta, GA 30909-6520 | 2016-04-19 |
| 1942695044 | Radhaica Parmer | Pharmacist | 3650 Wheeler Rd, Augusta, GA 30909-6520 | 2015-04-06 |
| 1619379880 | Kellie Amanda Dunlap | Pharmacist | 3650 Wheeler Rd, Augusta, GA 30909-6520 | 2014-09-19 |
| 1255747564 | Charles S Stewart | Pharmacist | 3650 Wheeler Rd, Augusta, GA 30909 | 2014-07-08 |
| 1194139410 | Lillie-ann Washington | Pharmacist | 3650 Wheeler Rd, Augusta, GA 30909-6520 | 2014-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513888 | Lauran Simpson | Behavior Technician | 1237 Augusta West Parkway, Augusta, GA 30909 | 2020-09-16 |
| 1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
| 1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
| 1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
| 1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
| 1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
| 1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
| 1124561766 | Sasha Latara Mccraw | Counselor | 7303 Palomino Court, Augusta, GA 30909 | 2016-11-30 |
| 1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
| 1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
| Find all providers in zip 30909 | ||||
| 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 |
|---|---|---|---|---|
| 1114534203 | Hyun Kim | Pharmacist | 1504 Bowdoin Dr, Augusta, GA 30909-4510 | 2020-09-23 |
| 1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
| 1760958300 | Keith Aloysius Wagner | Pharmacist | 950 15th St Rm 1c-104c, Augusta, GA 30901-2608 | 2018-10-22 |
| 1134600075 | Judah David Abernathy | Pharmacist | 2505 Windsor Spring Rd, Augusta, GA 30906-4642 | 2018-08-28 |
| 1336627785 | Tiffany M Bricker | Pharmacist | 165 Capitol St, Augusta, ME 04330-6232 | 2018-07-29 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1407372444 | Kali Lauren Taylor | Pharmacist | 509 State Street, Augusta, KS 67010 | 2017-08-22 |
| 1851829345 | Christopher Hearon | Pharmacist | 2803 Wrightsboro Rd Ste 17, Augusta, GA 30909-3917 | 2017-05-26 |
| 1669914032 | Brandon Michael Williams | Pharmacist | 2206 Brechin Ln, Augusta, GA 30909-6910 | 2016-11-16 |
| 1073068755 | Seoyeon Lee | Pharmacist | 536 Walden Hills Ct, Augusta, GA 30909-0225 | 2016-08-23 |
| Find all providers in AUGUSTA | ||||
Please comment or provide details below to improve the information on DR. ALICIA BEATRIX ELAM.
| 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.