MRS. PHYLLIS MYRA GRAYSON (NPI# 1992081574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992081574 |
| Entity Type | Individual |
| Full Name | MRS. PHYLLIS MYRA GRAYSON |
| Credential | R.PH. |
| Practice Address |
790 Masters Dr Stone Mountain GA 30087-5286 |
| Practice Telephone | 7704974130 |
| Mailing Telephone | 7704974130 |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2011-10-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH015607 | GA | Pharmacy Service Providers |
| Street Address |
790 MASTERS DR |
| City | STONE MOUNTAIN |
| State | GA |
| Zip Code | 30087-5286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176394 | Optimal Choice Telehealth | General Practice | 1227 Rockbidge Rd Sw, Ste 208-354, Stone Mountain, GA 30087 | 2020-05-27 |
| 1245882943 | Lynell Williams | Counselor | 505 Lilburn-stone Mountain Road, Suite 235, Stone Mountain, GA 30087 | 2019-07-12 |
| 1003302688 | Mark Andrew Stevens | Physical Therapist | 1227 Rockbridge Rd Ste 402, Stone Mountain, GA 30087 | 2018-07-06 |
| 1154816825 | Tuan Minh Khong | Physician Assistant | 6301 Southland Rdg, Stone Mountain, GA 30087 | 2018-06-26 |
| 1215429881 | Stephanie Martin | Nurse Practitioner | 2720 S Rockbridge Rd, Stone Mountain, GA 30087 | 2018-05-30 |
| 1578979381 | Edmund Thomas Jr. | Dentist | 2536 Rockbridge Rd Ste 103, Stone Mountain, GA 30087 | 2014-07-02 |
| 1790027688 | Robert Fanning Eaves Jr. | General Practice | 5394 Leatherstocking Lane, Stone Mountain, GA 30087 | 2013-03-19 |
| 1609128917 | Mary Marlene Muse | Lactation Consultant, Non-RN | 510 Navarre Drive, Stone Mountain, GA 30087 | 2012-10-10 |
| 1457680704 | Cleo Evans | Counselor | 5638 Manassas Run, Stone Mountain, GA 30087 | 2009-12-16 |
| 1932348521 | Lawrence Randy Sheber | Dentist | 5500-a Lilburn Stone Mountain Road, Stone Mountain, GA 30087 | 2009-02-05 |
| Find all providers in zip 30087 | ||||
| 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 |
|---|---|---|---|---|
| 1699253427 | Daniel Z Ymesghen | Pharmacist | 990 Carriage Trace Cir, Stone Mountain, GA 30087-4672 | 2018-08-02 |
| 1548776859 | Cierra Goodwin | Pharmacist | 638 Watson Bay, Stone Mountain, GA 30087-6122 | 2017-12-21 |
| 1437520087 | Meaza Dada | Pharmacist | 1043 Thornwoode Lane, Stone Mountain, GA 30083 | 2015-10-08 |
| 1386941722 | Violet Oluyinka Jonah | Pharmacist | 6402 Greenock Dr, Stone Mountain, GA 30087-6088 | 2011-02-22 |
| 1912226408 | Trina Lorraine Stewart | Pharmacist | 965 N Hairston Rd, Stone Mountain, GA 30083-2880 | 2010-05-23 |
| 1518292465 | Omotunde Oyewunmi Solaru | Pharmacist | 6049 Hitt Lake Trl, Stone Mountain, GA 30087-6526 | 2009-10-09 |
| 1952434425 | Melvin Douglas Owens | Pharmacist | 1824 Smokerise Smt, Stone Mountain, GA 30087-2324 | 2007-03-14 |
| 1114913209 | George Foster Baker Jr. | Pharmacist | 7236 Glen Cove Ln, Stone Mountain, GA 30087-6374 | 2005-09-23 |
| 1316548399 | Shanique Tasha Ann Grace Powell | Pharmacist | 5935 Memorial Dr, Stone Mountain, GA 30083-3429 | 2020-11-05 |
| 1780284331 | Carmen Orizabal | Pharmacist | 1825 Rockbridge Rd, Stone Mountain, GA 30087-3335 | 2020-10-31 |
| Find all providers in STONE MOUNTAIN | ||||
| City | STONE MOUNTAIN |
| Zip Code | 30087 |
Please comment or provide details below to improve the information on MRS. PHYLLIS MYRA GRAYSON.
| 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.