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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | RPH032031 | GA | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
Street Address |
800 GLENWOOD AVE SE |
City | ATLANTA |
State | GA |
Zip Code | 30316-1814 |
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 |
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 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 |
---|---|---|---|---|
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 |
Find all providers in ATLANTA |
Please comment or provide details below to improve the information on DR. RICHARD ANDREW BLAKE.
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.