WYNNS PHARMACY SERVICES (NPI# 1215078019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215078019 |
| Entity Type | Organization |
| Organization Name | WYNNS PHARMACY SERVICES |
| Practice Address |
107 Graefe St Griffin GA 30224-4221 |
| Practice Telephone | 7704676500 |
| Practice Fax Number | 7704676513 |
| Mailing Telephone | 7704676500 |
| Mailing Fax Number | 7704676513 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | OSGOOD A. MILLER (OWNER) |
| Authorized Official Telephone | 7704676500 |
| Authorized Official Credential | R.PH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835G0303X |
Pharmacist Specialization: Geriatric |
PHRE008220 | GA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | NCPDP NUMBER | 1148712 | 01 |
| GA | DEA NUMBER | BW5851161 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649572702 | Wynns Pharmacy Services | Durable Medical Equipment & Medical Supplies | 107 Graefe St, Griffin, GA 30224-4221 | 2010-11-23 |
| Street Address |
107 GRAEFE ST |
| City | GRIFFIN |
| State | GA |
| Zip Code | 30224-4221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649572702 | Wynns Pharmacy Services | Durable Medical Equipment & Medical Supplies | 107 Graefe St, Griffin, GA 30224-4221 | 2010-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346888971 | Latamika Renee Williams | Counselor | 1710 Ga-16 West, #6, Griffin, GA 30224 | 2019-12-13 |
| 1063062651 | Dominique S Paul-thompson | Contractor | 112 Deercreek Parkway, Griffin, GA 30224 | 2019-09-16 |
| 1497303531 | Xiaohui Zhang Brotzge | Physician Assistant | 601 S 8th Street, Griffin, GA 30224 | 2019-09-02 |
| 1548812282 | Andrew Dennis Nesmith | Registered Nurse | 601 South 8th St, Emergency Room, Griffin, GA 30224 | 2019-07-12 |
| 1073009122 | Alicia Skye Ledford | Nurse Practitioner | 619 S 8th St., Suite 200, Griffin, GA 30224 | 2018-07-02 |
| 1649787102 | Judith Fuajong Ngulefac | Nurse Practitioner | 1705 Williamson Rd, Griffin, GA 30224 | 2018-01-05 |
| 1699297077 | Amanda Norman | Speech-Language Pathologist | 106 Garnet Ln, Griffin, GA 30224 | 2017-07-07 |
| 1306214655 | Ruchi P Gandhi | Optometrist | 646 8th Street, Griffin, GA 30224 | 2015-09-03 |
| 1528473881 | Nnenna Ezeilo | Otolaryngology | 619 S 8th St Ste 304, Griffin, GA 30224 | 2014-06-25 |
| 1437436094 | C. B. Reddy Md PC | Preferred Provider Organization | 610 S 8th Street, Suite F, Griffin, GA 30224 | 2011-11-10 |
| Find all providers in zip 30224 | ||||
| Taxonomy Code | 1835G0303X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Geriatric |
| A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly. |
| Notes: Source: Commission for Certification in Geriatric Pharmacy (www.ccgp.org) [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124563325 | Joseph Edward Holt | Pharmacist | 1200 Hickory Dr, Valdosta, GA 31602-2711 | 2016-12-23 |
| 1184026064 | Candice Charles Dabbs | Pharmacist | 1485 Leverette Rd, Apartment 407, Warner Robins, GA 31088-6487 | 2014-09-22 |
| 1780922799 | Robert A Davis | Pharmacist | 500 Industrial Boulevard, Dublin, GA 31021 | 2013-01-25 |
| 1073850855 | Charles Cordaro | Pharmacist | 2000 East West Connector, Health Services Center, 1st Floor - Pharmacy, Austell, GA 30127 | 2013-01-14 |
| 1841544129 | Todd Woodard | Pharmacist | 1850 Cotillion Dr Apt 2114, Atlanta, GA 30338-7881 | 2012-11-07 |
| 1225387053 | Dennis Lester Trado | Pharmacist | 1415 Ashwood Dr, Evans, GA 30809 | 2012-09-07 |
| 1982989026 | Robert Randal Warnock | Pharmacist | 1060 Riverhill Dr, Bishop, GA 30621-6121 | 2011-10-20 |
| 1730461039 | Holly Spriggs Infante | Pharmacist | 103 Deer Valley Ln, Woodstock, GA 30189-2523 | 2011-09-13 |
| 1770881849 | James Wooten O'neal IIi | Pharmacist | 8 Surry Plaza, Hawkinsville, GA 31036 | 2011-03-14 |
| 1326283268 | Brian L Taffin | Pharmacist | 101 Silver Creek Dr, Canton, GA 30114-4213 | 2008-12-05 |
| 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.