NICHOLE ABERNATHY HASAN (NPI# 1003464538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003464538 |
| Entity Type | Individual |
| Full Name | NICHOLE ABERNATHY HASAN |
| Credential | PHARMD |
| Practice Address |
Walmart Pharmacy 3827 Mundy Mill Rd Oakwood GA 30566 |
| Mailing Address |
3480 Tamerton Trce Buford GA 30519-4249 |
| Practice Telephone | 7705353702 |
| Mailing Telephone | 4042106326 |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH024584 | GA | Pharmacy Service Providers |
| Street Address |
WALMART PHARMACY 3827 MUNDY MILL RD |
| City | OAKWOOD |
| State | GA |
| Zip Code | 30566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811480676 | Travis Core | Physical Therapist | 4220 Mundy Mill Pl Ste 2b, Oakwood, GA 30566 | 2018-06-07 |
| 1174922751 | Luke Lenahan | Physician Assistant | 3931 Mundy Mill Rd., Ste B, Oakwood, GA 30566 | 2014-08-19 |
| 1144584384 | Stephanie Mccullum | Occupational Therapist | 1006 Creeekside Place, Oakwood, GA 30566 | 2012-07-03 |
| 1528357951 | Extended Care Center of Oakwood LLC | Family Medicine | 4205 Mundy Mill Pl., Suite 1, Oakwood, GA 30566 | 2011-04-06 |
| 1265673305 | Patti P Shipp | Counselor | 4347 Mundy Mill Rd Ste A2, Oakwood, GA 30566 | 2009-03-19 |
| 1124281217 | Ionut Radu | Optometrist | 3839 Mundy Mills Road, Oakwood, GA 30566 | 2008-07-08 |
| 1356516116 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 3839 Mundy Mill Road, Oakwood, GA 30566 | 2008-04-23 |
| 1851423057 | Oakwood Medical Clinic | Clinic/Center | 3626 Old Oakwood Rd, Oakwood, GA 30566 | 2007-03-12 |
| 1386619526 | Robert O Kelly | Family Medicine | 3931 Mundy Mill Rd., Oakwood, GA 30566 | 2006-02-21 |
| 1366808727 | Eye Site of Oakwood P.C. | Optometrist | 3640 Mundy Mill Road, Suite 146, Oakwood, GA 30566 | 2016-01-14 |
| Find all providers in zip 30566 | ||||
| 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 |
|---|---|---|---|---|
| 1013546381 | Tonya Noel Traas | Pharmacist | 10273 Garden Creek Road, Oakwood, VA 24631 | 2020-04-07 |
| 1467654871 | Brenda Taylor Smith | Pharmacist | 1060 Dragon Rd, Oakwood, VA 24631-9210 | 2007-06-05 |
| 1790816312 | Tejal A Patel | Pharmacist | 3875 Mundy Mill Rd, Oakwood, GA 30566-3415 | 2007-03-07 |
| 1497355374 | Carol Demersseman | Pharmacist | 3839 Mundy Mill Rd, Oakwood, GA 30566-3415 | 2020-10-29 |
| 1407456627 | Melinda Lester | Pharmacist | 3839 Mundy Mill Rd, Oakwood, GA 30566-3415 | 2020-10-27 |
| 1962789339 | Edgar Franklin Talbott IIi | Pharmacist | 1060 Dragon Rd, Oakwood, VA 24631-9210 | 2011-11-13 |
| 1205124146 | Irene Sekyi Ntiako | Pharmacist | 1060 Dragon Rd, Apt. B, Oakwood, VA 24631-9210 | 2011-07-13 |
| 1184770968 | Patricia Ann Cox | Pharmacist | 4222 Mcever Rd, Oakwood, GA 30566-2237 | 2007-01-26 |
| 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 |
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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.