MR. JOHN DAVIDSON (NPI# 1164989539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164989539 |
| Entity Type | Individual |
| Full Name | MR. JOHN DAVIDSON |
| Credential | PHARMACIST |
| Practice Address |
2688 Highway 411 Se Fairmount GA 30139-2924 |
| Mailing Address |
218 Old Cass White Rd Nw Cartersville GA 30121-4724 |
| Practice Telephone | 7063375541 |
| Practice Fax Number | 7063375461 |
| Mailing Telephone | 7705473205 |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2019-02-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 12389 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255588349 | John Robert Davidson | Dentist | 27 N Park Ave, Peru, IN 46970-1718 | 2008-08-20 |
| 1306000831 | John Barry Davidson Jr. | General Practice | 158 Mill Point Dr, Hampton, VA 23669-3535 | 2008-07-14 |
| 1689733651 | John James Davidson | Chiropractor | 2103 C Laurel Bush Road, Bel Air, MD 21015 | 2006-12-06 |
| 1346282258 | John Allan Davidson | Social Worker | 9 Kattelville Rd, Binghamton, NY 13901-5859 | 2006-06-12 |
| 1689069874 | John Albert Davidson IIi | Podiatrist | 345 F St Ste 100, Chula Vista, CA 91910-2632 | 2015-04-03 |
| 1205142395 | John Robert Davidson | Counselor | 1790 W 11th Ave Ste A, Eugene, OR 97402-3780 | 2010-08-26 |
| 1851616155 | John Carl Davidson Jr. | Physical Therapist | 3347 Masonic Dr, Alexandria, LA 71301-3842 | 2010-03-30 |
| 1043480056 | John Howard Davidson | Physician Assistant | 405 W Jackson St, Carbondale, IL 62901-1462 | 2008-03-05 |
| 1992987416 | John Edward Davidson | Counselor | 1592 Granville Pike, Lancaster, OH 43130-1076 | 2007-11-27 |
| 1235337833 | John M Davidson | Nurse Anesthetist, Certified Registered | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2007-07-05 |
| Street Address |
2688 HIGHWAY 411 SE |
| City | FAIRMOUNT |
| State | GA |
| Zip Code | 30139-2924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770639726 | Richard F Smith | Dentist | 2285 Hwy 411 North, Fairmount, GA 30139 | 2007-01-25 |
| 1154408078 | Lifetouch Chiropractic | Chiropractor | 2265 Hwy 411 Se, Fairmount, GA 30139 | 2006-11-01 |
| 1386704070 | Fairmount Drugs, Inc. | Pharmacist | 2688 Hwy 411 Se, Fairmount, GA 30139-0471 | 2006-12-11 |
| 1548559339 | Fairmount Family Medicine PC | Family Medicine | 2712 Highway 411 Se, Fairmount, GA 30139-3219 | 2011-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760012181 | Samantha Gayle Yeagy | Emergency Medicine | 11700 S E 00 W, Fairmount, IN 46928-9318 | 2020-01-24 |
| 1376183673 | Preferred Hospice Care, LLC | Hospice Care, Community Based | 224 S Mill St, Fairmount, IN 46928-1940 | 2020-01-14 |
| 1093051120 | Madison-grant United School Corporation | Local Education Agency (LEA) | 11580 S E 00 W, Fairmount, IN 46928-9318 | 2012-12-18 |
| 1245574102 | New Journeys Counseling | Counselor | 7594 S 150 E, Fairmount, IN 46928-9212 | 2012-11-15 |
| 1780940221 | Moon Chiropractic Clinic | Chiropractor | 110 Main Ave., Fairmount, ND 58030 | 2012-04-10 |
| 1467742981 | Barry Lynn Moon | Chiropractor | 9455 179th Ave Se, Fairmount, ND 58030 | 2011-04-18 |
| 1548559339 | Fairmount Family Medicine PC | Family Medicine | 2712 Highway 411 Se, Fairmount, GA 30139-3219 | 2011-04-01 |
| 1922330380 | Mindy S Hussey | Physical Therapist | 1851 W 975 S, Fairmount, IN 46928-9726 | 2010-02-09 |
| 1770639726 | Richard F Smith | Dentist | 2285 Hwy 411 North, Fairmount, GA 30139 | 2007-01-25 |
| 1386704070 | Fairmount Drugs, Inc. | Pharmacist | 2688 Hwy 411 Se, Fairmount, GA 30139-0471 | 2006-12-11 |
| Find all providers in FAIRMOUNT | ||||
| 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 |
|---|---|---|---|---|
| 1386704070 | Fairmount Drugs, Inc. | Pharmacist | 2688 Hwy 411 Se, Fairmount, GA 30139-0471 | 2006-12-11 |
| 1265523955 | Bradley Alan Crump | Pharmacist | 124 N Main St, Fairmount, IN 46928-1654 | 2006-09-27 |
| 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 | ||||
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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.