SHAY PETRO (NPI# 1003936535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003936535 |
| Entity Type | Individual |
| Full Name | SHAY PETRO |
| Practice Address |
201 Dogwood Dr Waynesboro GA 30830-5445 |
| Mailing Address |
516 Pine Needle Rd Waynesboro GA 30830-1627 |
| Practice Telephone | 7065545133 |
| Practice Fax Number | 7065540941 |
| Mailing Telephone | 7065546086 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 13768 | NC | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 9869 | TN | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 18804 | GA | Pharmacy Service Providers |
| Street Address |
201 DOGWOOD DR |
| City | WAYNESBORO |
| State | GA |
| Zip Code | 30830-5445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861432916 | Bonnie P Jenkins | Family Medicine | 201 Dogwood Dr, Waynesboro, GA 30830-5445 | 2006-06-07 |
| 1205940277 | Burke Apothecary Inc | Pharmacy | 201 Dogwood Dr, Waynesboro, GA 30830-5445 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053935841 | Benjamin Wade Alverson | Dentist | 264 Hopkins Corner Dr. Suite D-8, Waynesboro, GA 30830 | 2020-06-08 |
| 1619524865 | Clark Drug Company, LLC. | Pharmacy | 206 W 6th Street, Waynesboro, GA 30830 | 2019-08-22 |
| 1508181405 | Walter R. Voyles | Surgery | 506 Burkeland Rd, Waynesboro, GA 30830 | 2010-04-02 |
| 1124264015 | Southern Health Solutions, LLC | Early Intervention Provider Agency | 6293c Highway 23 South, Waynesboro, GA 30830 | 2008-12-23 |
| 1184814519 | Bonnie P Jenkins Md PC | Family Medicine | 201 Dogwood Drive, Waynesboro, GA 30830 | 2007-08-01 |
| 1528113388 | Margaret Ann Mcgraw | Licensed Practical Nurse | 305 Park Dr, Waynesboro, GA 30830 | 2007-01-24 |
| 1780739599 | Ogeechee Behavioral Health Services | Community/Behavioral Health | 305 Park Drive, Waynesboro, GA 30830 | 2007-01-24 |
| 1356496194 | Ogeechee Behavioral Health Services | Community/Behavioral Health | 556 Hwy 25 South, Waynesboro, GA 30830 | 2007-01-24 |
| 1396890091 | Frances Gilbreth Brown | Counselor | 629 Shadrack Street, Waynesboro, GA 30830 | 2007-01-24 |
| 1316092000 | Connie Golding | Counselor | 727 W. Sixth Street, Waynesboro, GA 30830 | 2007-01-24 |
| Find all providers in zip 30830 | ||||
| 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 |
|---|---|---|---|---|
| 1508320201 | Hannah Rinker | Pharmacist | 11338 Cross Fields Dr, Waynesboro, PA 17268-7609 | 2019-01-27 |
| 1780012278 | Glenn Lee Wright | Pharmacist | 2712 West Main St., Waynesboro, VA 22980 | 2013-10-22 |
| 1447504956 | Joseph C. Murphy | Pharmacist | 307 Highway 64 E, Waynesboro, TN 38485-3020 | 2012-11-06 |
| 1841571692 | Cynthia R. Friedman | Pharmacist | 30 Sir Robin Rd, Waynesboro, VA 22980-9229 | 2011-09-07 |
| 1639469943 | Siddhartha Padmapani Yerikalapudi | Pharmacist | 101 Rosser Ave, Waynesboro, VA 22980-3510 | 2011-04-08 |
| 1386942886 | William H Stafford | Pharmacist | 1513 E Main St, Waynesboro, PA 17268-1890 | 2011-03-08 |
| 1821236480 | Michael John Bonchonsky | Pharmacist | 8473 Harper Dr, Waynesboro, PA 17268-8469 | 2009-02-04 |
| 1427296169 | Clint Pentz | Pharmacist | 14728 Honodel Rd, Waynesboro, PA 17268-9083 | 2009-02-03 |
| 1730344466 | Terry L Davis | Pharmacist | 11286 Crofton Cir, Waynesboro, PA 17268-8825 | 2008-07-22 |
| 1811937667 | Elizabeth T Burtner | Pharmacist | 245 Arch Ave, Waynesboro, VA 22980-4658 | 2006-06-08 |
| Find all providers in WAYNESBORO | ||||
| City | WAYNESBORO |
| Zip Code | 30830 |
Please comment or provide details below to improve the information on SHAY PETRO.
| 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.