GREGORY STAJICH (NPI# 1013453091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013453091 |
| Entity Type | Individual |
| Full Name | GREGORY STAJICH |
| Credential | PHARMD |
| Practice Address |
414 E Huntingdon St Savannah GA 31401-5719 |
| Practice Telephone | 4049644184 |
| Mailing Telephone | 4049644184 |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2017-01-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 012946 | GA | Pharmacy Service Providers |
| N | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
012946 | GA | Pharmacy Service Providers |
| Street Address |
414 E HUNTINGDON ST |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31401-5719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760031470 | Leslie Beatrice Dixon | Technician | 1109 Harmon Street, Savannah, GA 31401 | 2019-09-05 |
| 1912444621 | Sarah Kristen Shuman | Counselor | 140 East 40th St, Savannah, GA 31401 | 2017-01-20 |
| 1427591791 | Catherine Naomi Spann | Licensed Practical Nurse | 107 B Fahm Street, Savannag, GA 31401 | 2016-11-18 |
| 1871952499 | Jesline Palmer | Case Manager/Care Coordinator | 466 Martin Luther King Blvd, Savanah, GA 31401 | 2016-02-11 |
| 1487012894 | Suzanne Waltman Coote | Social Worker | 127 Abercorn St, Suite 301b, Savannah, GA 31401 | 2016-02-01 |
| 1356748032 | Beverly Weaver | Registered Nurse | 107 B Fahm St., Savannah, GA 31401 | 2014-11-25 |
| 1275938011 | Olukemi Olubajo | Dietitian, Registered | 125 Fahm Street, J C Lewis Primary Health Care Center, Savannah, GA 31401 | 2014-10-22 |
| 1346642279 | Kristin Jaski | Social Worker | 127 Abercorn St, Suite 301b, Savannah, GA 31401 | 2014-09-23 |
| 1528497500 | Kathleen Alice Flynn | Nurse Practitioner | 1900 Abercorn Street, Suite 100, Savannah, GA 31401 | 2013-11-11 |
| 1306112248 | Elizabeth Windom Stewart | Nurse Practitioner | 300 Bull St Ste 102, Savannah, GA 31401 | 2012-03-26 |
| Find all providers in zip 31401 | ||||
| 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 |
|---|---|---|---|---|
| 1851920284 | Samantha Kerr | Pharmacist | 6709 Forest Park Dr, Savannah, GA 31406-2561 | 2020-04-07 |
| 1376017319 | Gregory Lloyd Alston | Pharmacist | 519 E Jones St, Savannah, GA 31401-4709 | 2019-01-13 |
| 1790258291 | Karisten Martin | Pharmacist | 105 Fawn Ln, Savannah, TN 38372-4999 | 2019-01-07 |
| 1922596642 | Steve Whitlow Cagle | Pharmacist | 25 Chickasaw Dr, Savannah, TN 38372-1152 | 2018-04-27 |
| 1891282950 | Sherry Ann Schoonover | Pharmacist | 175 Ji Bell Lane, Savannah, TN 38372 | 2018-04-15 |
| 1124540646 | Troy Heckman | Pharmacist | 205 S Us Highway 71, Savannah, MO 64485-1726 | 2017-07-17 |
| 1053783662 | Jenny B Bartholomew | Pharmacist | 1975 E Montgomery Crossroad, Savannah, GA 31406 | 2015-10-22 |
| 1306267174 | Austin Brett Snyder | Pharmacist | 777 King George Blvd Unit 28, Savannah, GA 31419-8372 | 2013-12-22 |
| 1659708048 | Karissa Mizner Aktins | Pharmacist | 2 Saint Ives Dr, Savannah, GA 31419-8910 | 2013-10-01 |
| 1003241621 | Jeremy Brandon Renfroe | Pharmacist | 6206 Walden Park Dr, Savannah, GA 31410-4907 | 2013-09-13 |
| Find all providers in SAVANNAH | ||||
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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.