DR. ENRIQUE PUERTOS (NPI# 1053698613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053698613 |
| Entity Type | Individual |
| Full Name | DR. ENRIQUE PUERTOS |
| Credential | PHARMD |
| Practice Address |
163 Hospital Dr Toccoa GA 30577-6820 |
| Practice Telephone | 7062824268 |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2011-11-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | PS38352 | FL | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | RPH020537 | GA | Pharmacy Service Providers |
| Street Address |
163 HOSPITAL DR |
| City | TOCCOA |
| State | GA |
| Zip Code | 30577-6820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346230851 | Matthew William Kervin | Nurse Anesthetist, Certified Registered | 163 Hospital Dr, Toccoa, GA 30577-6820 | 2005-10-26 |
| 1568074615 | James Christopher Beck | Physician Assistant | 163 Hospital Dr, Toccoa, GA 30577-6820 | 2020-08-20 |
| 1023655321 | Stephens County Hospital Authority | Medicare Defined Swing Bed Unit | 163 Hospital Dr, Toccoa, GA 30577-6820 | 2019-12-05 |
| 1770078032 | Southland Stephens Hospitalist Group, LLC | Hospitalist | 163 Hospital Dr, Toccoa, GA 30577-6820 | 2018-06-28 |
| 1205342367 | Southland Stephens Emergency Medical Services, LLC | Emergency Medicine | 163 Hospital Dr, Toccoa, GA 30577-6820 | 2017-12-26 |
| 1659761955 | Stephens County Hospital Physician Group LLC | Surgery | 163 Hospital Dr, Toccoa, GA 30577-6820 | 2015-01-26 |
| 1457755274 | Jerlene Lawrence | Nurse Practitioner | 163 Hospital Dr, Toccoa, GA 30577-6820 | 2014-10-22 |
| 1760811616 | Hannah Andre Goodbar | Occupational Therapist | 163 Hospital Dr, Toccoa, GA 30577-6820 | 2013-11-01 |
| 1073890075 | Curt Matthew Vanorman | Pharmacist | 163 Hospital Dr, Toccoa, GA 30577-6820 | 2011-11-04 |
| 1073708129 | Stephens County Ambulance Service | Ambulance | 163 Hospital Dr, Toccoa, GA 30577-6820 | 2007-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982220513 | Jennifer Lynn Harper | Counselor | 46 Rice Lewis Gilliard Way, Toccoa, GA 30577 | 2020-06-19 |
| 1912528696 | Pittard Clinic LLC | Clinic/Center | 1654 Falls Rd, Toccoa, GA 30577 | 2020-05-04 |
| 1518313733 | Shellei Adams | Occupational Therapist | 23 Big A Rd, Toccoa, GA 30577 | 2016-05-06 |
| 1902212814 | Rebecca Coursey | Counselor | 1763 Fernside Dr., Avita Community Partners, Toccoa, GA 30577 | 2014-07-11 |
| 1427478742 | Cynthia Hemphill Wansley | Pharmacist | 3886 Georgia Highway 17, Toccoa, GA 30577 | 2014-04-25 |
| 1265850168 | Karen Kelley Colwell | Pharmacist | 3886 Hwy 17, Toccoa, GA 30577 | 2014-03-29 |
| 1972808160 | Cossar Chiropractic | Chiropractor | 2766 Ga Hwy 17, Toccoa, GA 30577 | 2011-01-19 |
| 1811216070 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 130 Haynes St, Toccoa, GA 30577 | 2010-05-26 |
| 1942435516 | Meadows Surgical Arts | Specialist | 203 Remsdale Rd, Toccoa, GA 30577 | 2009-05-26 |
| 1609011816 | Bryan Gerald Wood | Pharmacist | 102 N Sage Street, Stewart's Downtown Discount Drugs, Toccoa, GA 30577 | 2008-12-03 |
| Find all providers in zip 30577 | ||||
| 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 |
|---|---|---|---|---|
| 1861896979 | Matthew Parsons | Pharmacist | 377 N Pond St, Toccoa, GA 30577-1920 | 2014-10-17 |
| 1013322171 | Jennifer Mcjunkin-elmer | Pharmacist | 1234 Currahee Club Dr, Toccoa, GA 30577-7020 | 2014-06-27 |
| 1427478742 | Cynthia Hemphill Wansley | Pharmacist | 3886 Georgia Highway 17, Toccoa, GA 30577 | 2014-04-25 |
| 1265850168 | Karen Kelley Colwell | Pharmacist | 3886 Hwy 17, Toccoa, GA 30577 | 2014-03-29 |
| 1033400072 | William Joseph Pendergrast | Pharmacist | 1156 Big A Rd, Toccoa, GA 30577-6011 | 2011-04-25 |
| 1770873051 | Linda H Simmons | Pharmacist | 157 Greer Ln, Toccoa, GA 30577-3099 | 2011-04-07 |
| 1770805624 | Carol P. Bennett | Pharmacist | 8040 Highway 320, Toccoa, GA 30577-5196 | 2010-02-19 |
| 1609011816 | Bryan Gerald Wood | Pharmacist | 102 N Sage Street, Stewart's Downtown Discount Drugs, Toccoa, GA 30577 | 2008-12-03 |
| 1881735843 | Jo Frank Stewart | Pharmacist | 126 Heritage Ln, Toccoa, GA 30577-9171 | 2007-02-10 |
| 1184784910 | Steven G Spruill | Pharmacist | 906 Big A Rd S, Toccoa, GA 30577-3812 | 2006-12-11 |
| Find all providers in TOCCOA | ||||
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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.