JILL OTTO (NPI# 1073918249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073918249 |
| Entity Type | Individual |
| Full Name | JILL OTTO |
| Practice Address |
2300 Holcomb Bridge Rd Roswell GA 30076-3481 |
| Practice Telephone | 6783527480 |
| Practice Fax Number | 6783527483 |
| Mailing Telephone | 6783527480 |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2020-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH-027290 | GA | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 17467 | AL | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | PHARMACIST LICENSE NUMBER | 17467 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7090 Highway 72 W, Huntsville, AL 358061728 | 2567260620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306271382 | Jill Kathleen Otto | Licensed Practical Nurse | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2013-09-09 |
| Street Address |
2300 HOLCOMB BRIDGE RD |
| City | ROSWELL |
| State | GA |
| Zip Code | 30076-3481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912931726 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 2300 Holcomb Bridge Rd, Roswell, GA 30076-3481 | 2006-07-10 |
| 1770181430 | Allison Marissa Willis | Pharmacist | 2300 Holcomb Bridge Rd, Roswell, GA 30076-3481 | 2020-10-15 |
| 1184997272 | Amy Watson Hinkel | Physical Therapist | 2300 Holcomb Bridge Rd, Suite 304, Roswell, GA 30076-3481 | 2012-02-20 |
| 1750672291 | Vy Tuong Doan | Pharmacist | 2300 Holcomb Bridge Rd, Roswell, GA 30076-3481 | 2011-05-01 |
| 1518103712 | Briggs & Associates, Inc. | Day Training, Developmentally Disabled Services | 2300 Holcomb Bridge Rd, Suite 103, Pmb 366, Roswell, GA 30076-3481 | 2008-12-18 |
| 1427294628 | Briggs & Associates, Inc. | Day Training, Developmentally Disabled Services | 2300 Holcomb Bridge Rd, Suite 103, Pmb 366, Roswell, GA 30076-3481 | 2008-12-18 |
| 1245476449 | Briggs & Associates, Inc. | Day Training, Developmentally Disabled Services | 2300 Holcomb Bridge Rd, Suite 103, Pmb 366, Roswell, GA 30076-3481 | 2008-12-18 |
| 1700915360 | Briggs & Associates, Inc. | Day Training, Developmentally Disabled Services | 2300 Holcomb Bridge Rd, Suite 103, Pmb 366, Roswell, GA 30076-3481 | 2007-03-02 |
| 1114025244 | David Brian Winner | Optometrist | 2300 Holcomb Bridge Rd, 306, Roswell, GA 30076-3481 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
| 1841776689 | Scott Gunter Brunson | Hearing Instrument Specialist | 777 Old Roswell Pl # E100, Roswell, GA 30076 | 2018-07-16 |
| 1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
| 1427575554 | A One Home Care, Inc. | In Home Supportive Care | 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 | 2017-08-29 |
| 1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
| 1245769637 | Family Behavioral Health, LLC | Clinic/Center | 9275 Martin Rd, Roswell, GA 30076 | 2017-06-08 |
| 1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
| 1447618707 | Concierge Medical Mgmt Group | Contractor | 760 Old Roswell Rd Ste 117, Roswell, GA 30076 | 2016-02-02 |
| 1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
| 1710360441 | Currents Massage LLC | Massage Therapist | 760 Old Roswell Road, Suite 230, Roswell, GA 30076 | 2015-06-30 |
| Find all providers in zip 30076 | ||||
| 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 |
|---|---|---|---|---|
| 1932738697 | Laurie D Renshaw | Pharmacist | 410 Hamilton Park Dr, Roswell, GA 30075-5581 | 2020-04-05 |
| 1538728803 | Alan Ryan | Pharmacist | 570 Trotters Rdg, Roswell, GA 30075-2882 | 2019-06-11 |
| 1821560780 | Kyle Scherich | Pharmacist | 4500 N Main St Ste A, Roswell, NM 88201-0305 | 2018-12-17 |
| 1518487206 | Cherini Ghobrial | Pharmacist | 11910 Stradford Wood, Roswell, GA 30076-1191 | 2017-06-22 |
| 1265838262 | James C. Shumans | Pharmacist | 495 Spring Ridge Dr, Roswell, GA 30076-2680 | 2014-11-18 |
| 1538564745 | Lacey Scott | Pharmacist | 1835 N. Main, Roswell, NM 88201 | 2014-10-30 |
| 1821335878 | Christopher Chu | Pharmacist | 1425 Market Blvd, Roswell, GA 30076-6708 | 2013-01-10 |
| 1972876233 | Devyani Kambaliya | Pharmacist | 975 Riceland Ct, Roswell, GA 30075-7805 | 2012-02-17 |
| 1316224959 | Karen J Cook | Pharmacist | 4321 Lake Chimney Ct Ne, Roswell, GA 30075-3138 | 2011-11-10 |
| 1184909400 | Mervat Nabil Halim | Pharmacist | 10790 Alpharetta Hwy, Roswell, GA 30076-1425 | 2011-10-18 |
| Find all providers in ROSWELL | ||||
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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.