COLLEEN M. COLEGROVE (NPI# 1124160049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124160049 |
| Entity Type | Individual |
| Full Name | COLLEEN M. COLEGROVE |
| Credential | R.PH. |
| Practice Address |
199 East Louise St Clarkesville GA 30523 |
| Mailing Address |
129 Stonebrook Dr Demorest GA 30535-5958 |
| Practice Telephone | 7067543933 |
| Mailing Telephone | 7067761375 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH017478 | GA | Pharmacy Service Providers |
| Street Address |
199 EAST LOUISE ST |
| City | CLARKESVILLE |
| State | GA |
| Zip Code | 30523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334209 | Mark Alan Beach | Counselor | 320 Victory Home Ln, Clarkesville, GA 30523 | 2020-10-21 |
| 1619299799 | Leonard Fishman | Specialist | 500 Blue Creek Rd, Clarkesville, GA 30523 | 2010-02-17 |
| 1710134051 | Cheston Berrong Kimsey, Jr | Dentist | 364 Jefferson St, Clarkesville, GA 30523 | 2008-08-19 |
| 1558535302 | Dr David S Greene | Optometrist | 337 Madison St, Clarksville, GA 30523 | 2008-04-14 |
| 1437290541 | Hope Lucinda Senador | Social Worker | 1423 Washington Street, Suite 210, Clarkesville, GA 30523 | 2007-02-09 |
| 1326188855 | Clarkesville Counseling & Mediation Services, Inc | Counselor | 695 Washington St, Clarkesville, GA 30523 | 2007-02-07 |
| 1013057546 | Centerpoint Counseling Services | Social Worker | 1423 Washington St, Ste 202, Clarkesville, GA 30523 | 2007-02-07 |
| 1588722276 | Regina Ann Boling | Dentist | 5332 Hwy 115, Suite A, Clarkesville, GA 30523 | 2006-12-05 |
| 1881761450 | Cummings Physical Therapy Services, LLC | Specialist | 1179 Ben Jones Road, Clarkesville, GA 30523 | 2006-11-29 |
| 1255403796 | Susan Patton | Counselor | 695 Washington St., Clarkesville, GA 30523 | 2006-11-13 |
| Find all providers in zip 30523 | ||||
| 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 |
|---|---|---|---|---|
| 1497015580 | Connie Marie Vanorman | Pharmacist | 300 Upper Stair St, Clarkesville, GA 30523-4145 | 2012-05-22 |
| 1891086039 | Martha Mcclure Nix | Pharmacist | 1235 Washington St, Clarkesville, GA 30523-5618 | 2011-04-21 |
| 1457336521 | Beverly Deann Wilson | Pharmacist | 199 E Louise St, Clarkesville, GA 30523-6019 | 2005-12-13 |
| 1518308543 | Ronand Eugene Henderson | Pharmacist | 199 E Louise St, Clarkesville, GA 30523-6019 | 2013-07-06 |
| 1902172315 | David J Ledbetter | Pharmacist | 596 W Louise St, Suite D, Clarkesville, GA 30523-5849 | 2012-03-29 |
| 1891086161 | Barbara Gray | Pharmacist | 1235 Washington St, Clarkesville, GA 30523-5618 | 2011-04-21 |
| 1689602203 | Tracy S. English | Pharmacist | 199 E Louise St, Clarkesville, GA 30523-6019 | 2006-06-30 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | CLARKESVILLE |
| Zip Code | 30523 |
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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.