DR. JERRICA LANISE DODD


Address: 2499 Red Barn Rd Sw, Marietta, GA 30064-4905
Phone: 7703165497

DR. JERRICA LANISE DODD (NPI# 1003320326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003320326
Entity Type Individual
Full Name DR. JERRICA LANISE DODD
Credential PHARMD, MS
Practice Address 2499 Red Barn Rd Sw
Marietta
GA 30064-4905
Mailing Address 1750 Powder Springs Rd Sw
Suite 190, Pmb 295
Marietta
GA 30064-4861
Practice Telephone 7703165497
Mailing Telephone 7703165497
Enumeration Date 2017-11-22
Last Update Date 2017-11-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 183500000X Pharmacist 03223091 OH Pharmacy Service Providers
Y 183500000X Pharmacist RPH22274 GA Pharmacy Service Providers
N 183500000X Pharmacist PS34036 FL Pharmacy Service Providers

Office Location

Street Address 2499 RED BARN RD SW
City MARIETTA
State GA
Zip Code 30064-4905

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043833304 Chelsey Lewis Pharmacist 660 Whitlock Ave Sw, Marietta, GA 30064 2020-05-21
1316428527 Candice Murray Nurse Practitioner 2727 Wynford Ave Sw, Marietta, GA 30064 2018-08-25
1427539741 Emily Dorsey Drew Nurse Practitioner 3911 Mary Eliza Trce Nw Ste 200, Marietta, GA 30064 2018-08-24
1649765017 Julie K Berger Counselor 336 Powder Springs St Suite 206, Marietta, GA 30064 2018-06-27
1689175291 Anthony Bammer Clinical Exercise Physiologist 1001 Whitlock Avenue Nw, Marietta, GA 30064 2018-02-28
1831600725 Dyniecia Barnes Specialist 2575 White Haven Dr Sw, Ste 100 / Salon 121, Marietta, GA 30064 2017-10-18
1588173298 Michelle Ann Stich Assistant Behavior Analyst 376 Powder Springs St Ste 130, Marietta, GA 30064 2017-09-26
1194241976 Namasine Lolice Dalrymple Counselor 1708 Peachtree St, Suite 300, Atlanta, GA 30064 2017-08-14
1245760859 Michael H Mulkey, Dmd PC Dentist 3951 Mary Eliza Trace Nw, Suite 200, Marietta, GA 30064 2017-06-15
1700310893 West Cobb Dentist Office, PC Dentist 3805 Dallas Hwy Sw, Suite 804, Marietta, GA 30064 2017-04-14
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831798917 Barbara Ann Goldschmidt Pharmacist 4088 Lower Roswell Rd, Marietta, GA 30068 2020-10-20
1275143380 Stephanie Diane-hunsley Long Pharmacist 1050 E Piedmont Rd Ste P, Marietta, GA 30062-4744 2020-08-04
1043833304 Chelsey Lewis Pharmacist 660 Whitlock Ave Sw, Marietta, GA 30064 2020-05-21
1053947226 Chettana Sanasith Pharmacist 1979 Carithers Way, Marietta, GA 30064-6012 2020-03-19
1356997522 Jeffry Todd Arthur Pharmacist 401 Matthew Street Suite 100, Marietta, OH 45750 2019-08-14
1659837086 Charnisha Thomas Pharmacist 3024 Hidden Forest Ct Unit 5203, Marietta, GA 30066-3155 2019-02-11
1356819502 Kineta Naidu Pharmacist 1040 Brockton Close, Marietta, GA 30068-4924 2018-11-06
1285114843 Jorg Richard Largent Jr. Pharmacist 1761 Chanson Pl, Marietta, GA 30062-2169 2018-08-14
1124506993 Allison Delancey Pharmacist 401 Matthew St Ste 100, Marietta, OH 45750-1635 2018-08-02
1598208415 Eric Erwin Pharmacist 1802 Glen Ivy, Marietta, GA 30062-3594 2016-11-25
Find all providers in MARIETTA

Competitor

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City MARIETTA
Zip Code 30064

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Dataset Information

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.

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