CHRISTOPHER DEWAYNE PUGH (NPI# 1124650510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124650510 |
Entity Type | Individual |
Full Name | CHRISTOPHER DEWAYNE PUGH |
Credential | PHARM.D. |
Practice Address |
4357 Lawrenceville Hwy Tucker GA 30084-3773 |
Practice Telephone | 7709348322 |
Mailing Telephone | 7709348322 |
Enumeration Date | 2020-02-04 |
Last Update Date | 2020-02-04 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
021306 | GA | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700492113 | Christopher D Pugh | Counselor | 19731 34th Dr Se, Bothell, WA 98012-7224 | 2020-09-21 |
1700394533 | Christopher Pugh | Case Manager/Care Coordinator | 1033 Larchwood Rd, Mansfield, OH 44907-2424 | 2018-01-15 |
1083097927 | Christopher Jacob Pugh | Pharmacist | 1331 Highway 51, Ponchatoula, LA 70454-6370 | 2015-07-08 |
1538376603 | Christopher J Pugh | Obstetrics & Gynecology | 301 S 7th Ave, Suite 1020, West Reading, PA 19611-1410 | 2007-05-17 |
1972535698 | Christopher Brent Pugh | Specialist | 3480 Wake Forest Rd, Suite 414, Raleigh, NC 27609-7376 | 2006-07-06 |
Street Address |
4357 LAWRENCEVILLE HWY |
City | TUCKER |
State | GA |
Zip Code | 30084-3773 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952335861 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 4357 Lawrenceville Hwy, Tucker, GA 30084-3773 | 2006-07-10 |
1265031546 | Ashley Dolphus | Pharmacist | 4357 Lawrenceville Hwy, Tucker, GA 30084-3773 | 2020-10-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609401355 | Excellent Medical Transport | Ambulance | 4378 Sentry Dr, Tucker, GA 30084 | 2020-03-03 |
1811468796 | Caleb Lee Ebbets | Physical Therapist | 1459 Montreal Road, Medical Office Building, Suite 301, Tucker, GA 30084 | 2018-12-17 |
1417436130 | Benjamin Han Wook Chong | Physical Therapist | 1460 Montreal Road East, Suite 300, Tucker, GA 30084 | 2018-08-13 |
1336659325 | Lavista Acupuncture and Herbal Medicine | Acupuncturist | 4915 Lavista Rd, Tucker, GA 30084 | 2017-10-04 |
1699294207 | Debrica Butler | Counselor | 1021 Oak Chase Dr., Apt C, Tucker, GA 30084 | 2017-09-14 |
1295264695 | Jolanta Wazgowska Hopkins | Social Worker | 4404 Idlewood Lane, Tucker, GA 30084 | 2017-06-08 |
1164956157 | Sage Dental Group of Georgia LLC | Dentist | 4320 Lavista Rd, Suite C119, Tucker, GA 30084 | 2017-04-17 |
1689107807 | Mashail Manzur | Podiatrist | 1460 Montreal Rd E, Ste 275, Tucker, GA 30084 | 2017-04-05 |
1053765578 | Jessica Spruyt | Speech-Language Pathologist | 3756 Lavista Rd Suite 104, Tucker, GA 30084 | 2016-04-21 |
1265802318 | Spine and Orthopedics of Atlanta, LLC | Clinic/Center | 1462 Montreal Rd Ste 218, Tucker, GA 30084 | 2015-10-01 |
Find all providers in zip 30084 |
Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053910208 | Shondria Alexis Davis | Pharmacist | 3959 Lavista Rd, Tucker, GA 30084-5144 | 2020-10-20 |
1376810200 | Sherri Ann Tongate | Pharmacist | 5201 Lavista Rd, Tucker, GA 30084-3604 | 2011-11-21 |
1245510437 | Myra W. Jones | Pharmacist | 200 Crescent Center Pkwy, Tucker, GA 30084-7047 | 2011-08-19 |
1366721540 | Urvi Vora | Pharmacist | 200 Crescent Center Pkwy, Tucker, GA 30084-7047 | 2011-08-05 |
1417235789 | Nafesa E Walters-smith | Pharmacist | 200 Crescent Center Pkwy, Tucker, GA 30084-7047 | 2011-08-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306445747 | Hiep Hoang Do | Pharmacist | 801 Burns Estates Dr, Lilburn, GA 30047-3484 | 2020-10-17 |
1518565902 | Edward Edeh | Pharmacist | 1232 South Hairstoh Road, Stone Mountain, GA 30088 | 2020-10-16 |
1548868342 | Jackson Gathuru Ngugi | Pharmacist | 193 Anniversary Ln, Acworth, GA 30102-2045 | 2020-10-14 |
1568086494 | Lynn Berner Marshall | Pharmacist | 3823 Club Forest Dr, Peachtree Corners, GA 30092-2369 | 2020-06-06 |
1295357325 | Rhonda Ireland | Pharmacist | 125 Main Street Marketplace, Cartersville, GA 30120 | 2020-05-12 |
1073132676 | Khushboo S Rhodes | Pharmacist | 3101 Roswell Rd Ste 132, Marietta, GA 30062-5523 | 2020-04-14 |
1194354647 | Deanna W Mcewen | Pharmacist | 1720 Epps Bridge Road, Athens, GA 30606-6132 | 2020-04-06 |
1104452663 | Latrena Solomon | Pharmacist | 1750 Highway 138 E, Stockbridge, GA 30281-2810 | 2020-03-17 |
1497389597 | Rx Healthcare Ltd | Pharmacist | 2136 W Park Ct Ste I, Stone Mountain, GA 30087-3528 | 2020-02-27 |
1972136273 | Shannon Sulik | Pharmacist | 774 Highway 96, Bonaire, GA 31005-3300 | 2020-02-15 |
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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.