DR. RICHARD ANDREW BLAKE


Address: 800 Glenwood Ave Se, Atlanta, GA 30316-1814
Phone: 4704475040

DR. RICHARD ANDREW BLAKE (NPI# 1295358356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295358356
Entity Type Individual
Full Name DR. RICHARD ANDREW BLAKE
Credential PHARMD
Practice Address 800 Glenwood Ave Se
Atlanta
GA 30316-1814
Mailing Address 902 Camden Ct
Atlanta
GA 30327-4275
Practice Telephone 4704475040
Mailing Telephone 6786442780
Enumeration Date 2020-05-24
Last Update Date 2020-07-01
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist RPH032031 GA Pharmacy Service Providers

Other Providers RICHARD BLAKE

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1174650071 Richard Gary Blake Technician/Technologist 21835 Ventura Blvd, Woodland Hills, CA 91364-1838 2007-02-27
1972666774 Richard Daniel Blake Chiropractor 8 Glen Road, Powerhouse Mall, W Lebanon, NH 03784 2006-12-19
1740235829 Richard W. Blake Physician Assistant 3600 E Wickersham Way, Wasilla, AK 99654 2006-05-24
1912921867 Richard Wayne Blake Dentist 2701 Park Dr, Suite #1, Clearwater, FL 33763-1021 2006-07-26
1699702308 Richard Alan Blake Internal Medicine 1401 Harrodsburg Rd, Suite A-300, Lexington, KY 40504-3751 2006-06-27
1770559924 Richard Lawrence Blake Podiatrist 900 Hyde St, San Francisco, CA 94109-4806 2006-02-27

Office Location

Street Address 800 GLENWOOD AVE SE
City ATLANTA
State GA
Zip Code 30316-1814

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043673650 The Kroger Co Durable Medical Equipment & Medical Supplies 800 Glenwood Ave Se, Atlanta, GA 30316 2016-03-31
1679192843 Eunice Wang Pharmacist 800 Glenwood Ave Se, Atlanta, GA 30316-1814 2020-04-08
1235762477 Jill Gilbert Pharmacist 800 Glenwood Ave Se, Atlanta, GA 30316-1814 2020-02-17
1497308506 Tsitsi Muhoma Nurse Practitioner 800 Glenwood Ave Se, Atlanta, GA 30316-1814 2019-07-17
1679133771 Sharde' Parkman Nurse Practitioner 800 Glenwood Ave Se, Atlanta, GA 30316-1814 2019-06-19
1467980623 Kimberly Johnson Student in an Organized Health Care Education/Training Program 800 Glenwood Ave Se, Atlanta, GA 30316-1814 2017-05-31
1205385119 Tlc of Georgia LLC Nurse Practitioner 800 Glenwood Ave Se, Atlanta, GA 30316-1814 2016-10-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073156923 Rakiya Williams Counselor 1030 Fayetteville Rd., Atlanta, GA 30316 2019-10-23
1215585815 Madison Victoria Baugh Counselor Chris180, 1030 Fayetteville Rd, Atlanta, GA 30316 2019-08-28
1265089460 Josee Dominque Muldrew Counselor 1030 Fayetteville Rd. Se, Atlanta, GA 30316 2019-08-22
1255984241 Monique Overstreet Counselor 1030 Fayetteville Road, Atlanta, GA 30316 2019-07-19
1023573979 Publix Super Markets, Inc. Durable Medical Equipment & Medical Supplies 905 Memorial Drive Se, Atlanta-fulton, GA 30316 2019-02-05
1740726454 Jimmy Brian Sambula Behavior Technician 1017 Fayetteville Rd. Se, Atlanta, GA 30316 2017-01-19
1033665039 Liberty Group Senior Services Clinic/Center 1879 Glenwood Avenue, Atlanta, GA 30316 2016-08-30
1992143382 Ayodele Osasona Surgery 2004 Oak Terrace Dr Se, Atlanta, GA 30316 2013-06-07
1891945721 Denise Renee Cagle Social Worker 1471 Town Country Dr Se, Atlanta, GA 30316 2008-09-28
1235172388 Bethanne Jenks Pediatrics 2006 Hosea Williams Dr, Atlanta, GA 30316 2006-06-14
Find all providers in zip 30316

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093312464 Gloria Rinomhota Pharmacist 25 Peachtree St Sw # Se, Atlanta, GA 30303-3140 2020-10-07
1760098404 Lisa Ann Mcwhorter Loux Pharmacist 57 Executive Park S Ste 400, Atlanta, GA 30329-2249 2020-09-18
1073124178 Erin Marriott Pharmacist 171 17th St Nw Ste 1400, Atlanta, GA 30363-1069 2020-08-12
1447869797 Caitlyn Sue Elmes Pharmacist 756 Bellemeade Ave Nw, Atlanta, GA 30318-3104 2020-07-23
1700404241 Hoang Anh Rebecca Phan Pharmacist 1160 Johnson Fy Rd Ne Unit 1475, Atlanta, GA 30342-2356 2020-07-10
1073130597 Tri Minh Phan Pharmacist 755 Mount Vernon Hwy Ne Ste 450, Atlanta, GA 30328-4292 2020-06-30
1649894411 Lisa Aquillano Pharmacist 12 Executive Park Dr Ne Ste 556, Atlanta, GA 30329-2206 2020-06-08
1417570565 Raidel Redondo Pharmacist 1100 Hammond Dr Ste 500, Atlanta, GA 30328-8191 2020-05-23
1720601255 Dawn Lieber Sasine Pharmacist 164 W Wieuca Rd Ne Ste 7, Atlanta, GA 30342-3231 2020-05-19
1821617119 Erin Jessica Searles Pharmacist 424 Decatur St Se Ste 100, Atlanta, GA 30312-1848 2020-04-16
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Competitor

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City ATLANTA
Zip Code 30316

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Dataset Information

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.

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