FISEHA FETTENE (NPI# 1235412321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235412321 |
| Entity Type | Individual |
| Full Name | FISEHA FETTENE |
| Credential | PHARM D |
| Practice Address |
4765 Redan Rd Stone Mountain GA 30088-4550 |
| Practice Telephone | 4042995322 |
| Mailing Telephone | 4042995322 |
| Enumeration Date | 2011-09-24 |
| Last Update Date | 2011-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH023496 | GA | Pharmacy Service Providers |
| Street Address |
4765 REDAN RD |
| City | STONE MOUNTAIN |
| State | GA |
| Zip Code | 30088-4550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538290135 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4765 Redan Rd, Stone Mountain, GA 30088-4550 | 2007-03-08 |
| 1225311558 | Shannon Brown | Pharmacist | 4765 Redan Rd, Stone Mountain, GA 30088-4550 | 2011-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565902 | Edward Edeh | Pharmacist | 1232 South Hairstoh Road, Stone Mountain, GA 30088 | 2020-10-16 |
| 1588124879 | Birds of Paradise Physical Therapy Services,llc | Physical Therapy Assistant | 754 Post Road Ln, Address Line 2, Stone Mountain, GA 30088 | 2019-03-22 |
| 1710467923 | Stephanie Patrice Mccray | In Home Supportive Care | 1058 Millard Road, Stone Mountain, GA 30088 | 2018-08-16 |
| 1912365321 | Audrey Perry | Respiratory Therapist, Certified | 1588 Linkview Close, Stone Mountain, GA 30088 | 2016-02-01 |
| 1689041428 | Reaching Above Poverty | Counselor | 5401 Megan Rd, Stone Mountain, GA 30088 | 2015-08-27 |
| 1043692254 | Bethany Johnson | Home Health Aide | 981 Deer Chase Court, Stone Mountain, GA 30088 | 2015-06-24 |
| 1073859666 | Whitney's Place Inc. | Custodial Care Facility | 5451 Rockbeidge Road, Stone Mountain, GA 30088 | 2012-12-31 |
| 1831468818 | The Art of Living Cla LLC. | Community/Behavioral Health | 1668 South Hairston Rd, Stone Mountain, GA 30088 | 2011-12-21 |
| 1659670792 | Atarah Ranit Kimmons | Occupational Therapist | 2045 County Down Lane, Stone Moutain, GA 30088 | 2011-03-15 |
| 1104060219 | William Tyrell Reid Jr. | Dentist | 1183 South Hairstron Rd., Suite D, Stone Mountain, GA 30088 | 2009-04-21 |
| Find all providers in zip 30088 | ||||
| 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 |
|---|---|---|---|---|
| 1699253427 | Daniel Z Ymesghen | Pharmacist | 990 Carriage Trace Cir, Stone Mountain, GA 30087-4672 | 2018-08-02 |
| 1548776859 | Cierra Goodwin | Pharmacist | 638 Watson Bay, Stone Mountain, GA 30087-6122 | 2017-12-21 |
| 1437520087 | Meaza Dada | Pharmacist | 1043 Thornwoode Lane, Stone Mountain, GA 30083 | 2015-10-08 |
| 1992081574 | Phyllis Myra Grayson | Pharmacist | 790 Masters Dr, Stone Mountain, GA 30087-5286 | 2011-10-27 |
| 1386941722 | Violet Oluyinka Jonah | Pharmacist | 6402 Greenock Dr, Stone Mountain, GA 30087-6088 | 2011-02-22 |
| 1912226408 | Trina Lorraine Stewart | Pharmacist | 965 N Hairston Rd, Stone Mountain, GA 30083-2880 | 2010-05-23 |
| 1518292465 | Omotunde Oyewunmi Solaru | Pharmacist | 6049 Hitt Lake Trl, Stone Mountain, GA 30087-6526 | 2009-10-09 |
| 1952434425 | Melvin Douglas Owens | Pharmacist | 1824 Smokerise Smt, Stone Mountain, GA 30087-2324 | 2007-03-14 |
| 1114913209 | George Foster Baker Jr. | Pharmacist | 7236 Glen Cove Ln, Stone Mountain, GA 30087-6374 | 2005-09-23 |
| 1316548399 | Shanique Tasha Ann Grace Powell | Pharmacist | 5935 Memorial Dr, Stone Mountain, GA 30083-3429 | 2020-11-05 |
| Find all providers in STONE MOUNTAIN | ||||
| City | STONE MOUNTAIN |
| Zip Code | 30088 |
Please comment or provide details below to improve the information on FISEHA FETTENE.
| 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.