DR. KATHERINE L ANTONIADES (NPI# 1306445382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306445382 |
| Entity Type | Individual |
| Full Name | DR. KATHERINE L ANTONIADES |
| Other Name | KATHERINE LALAS |
| Credential | PHARMD |
| Practice Address |
4880 Lower Roswell Rd Marietta GA 30068-4375 |
| Mailing Address |
2759 Thomashire Trce Marietta GA 30066-4783 |
| Practice Telephone | 7709718661 |
| Mailing Telephone | 8645932177 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
020793 | GA | Pharmacy Service Providers |
| Street Address |
4880 LOWER ROSWELL RD |
| City | MARIETTA |
| State | GA |
| Zip Code | 30068-4375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942234778 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 4880 Lower Roswell Rd, Marietta, GA 30068-4375 | 2006-07-10 |
| 1629686134 | Annie Lee | Pharmacist | 4880 Lower Roswell Rd, Marietta, GA 30068-4375 | 2020-07-21 |
| 1770035263 | Pt Solutions of Acworth, LLC | Physical Therapist | 4880 Lower Roswell Rd, Suite 625, Marietta, GA 30068-4375 | 2016-10-31 |
| 1801285507 | Isd Renal Inc | Clinic/Center | 4880 Lower Roswell Rd, Suite 770, Marietta, GA 30068-4375 | 2015-01-19 |
| 1356688295 | William Roger Lanier | Pharmacist | 4880 Lower Roswell Rd, Marietta, GA 30068-4375 | 2013-01-11 |
| 1659639474 | Erin Marie Cain | Pharmacist | 4880 Lower Roswell Rd, Marietta, GA 30068-4375 | 2012-04-30 |
| 1932401973 | Janet Lynne Boner | Music Therapist | 4880 Lower Roswell Rd, Marietta, GA 30068-4375 | 2010-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798917 | Barbara Ann Goldschmidt | Pharmacist | 4088 Lower Roswell Rd, Marietta, GA 30068 | 2020-10-20 |
| 1285274480 | Cory Plasker | Chiropractor | 519b Johnson Ferry Road, Suite 350, Marietta, GA 30068 | 2020-01-15 |
| 1952949893 | Dr Amy L Varner LLC | Internal Medicine | 1000 Johnson Ferry Rd Bldg E Ste 200, Marietta, GA 30068 | 2019-12-11 |
| 1417501834 | Cornerstone Hospice and Palliative Care of Georgia, LLC | Hospice Care, Community Based | 1225 Johnson Ferry Rd., Bldg. 100, Suite 160, Marietta, GA 30068 | 2019-07-25 |
| 1639721038 | Cayla Clark | Behavior Technician | 137 Johnson Ferry Road Suite 2170, Marietta, GA 30068 | 2019-07-15 |
| 1467910828 | 2me Healthcare,llc | Home Health | 2586 Club Valley Drive Ne, Marietta, GA 30068 | 2019-03-05 |
| 1265912604 | Feidy Chiropractic Clinic Inc, Dba Cardwell Chiropractic Clinic | Chiropractor | 1230 Johnson Ferry Pl Ste G30, Marietta, GA 30068 | 2018-08-15 |
| 1225514219 | Audrey Hughes. Lcsw, LLC | Clinic/Center | 1212 Johnson Ferry Rd, Suite 300, Marietta, GA 30068 | 2018-07-13 |
| 1316461379 | Evan King | Registered Nurse | 52 Pioneer Trl, Marietta, GA 30068 | 2017-08-01 |
| 1912431867 | Anthony Izore | Nurse Practitioner | 5163 Tall Oak Drive, Marietta, GA 30068 | 2017-04-18 |
| Find all providers in zip 30068 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073132676 | Khushboo S Rhodes | Pharmacist | 3101 Roswell Rd Ste 132, Marietta, GA 30062-5523 | 2020-04-14 |
| 1265063143 | Ravi Kumar Kolluri | Pharmacist | 2753 Stone Hall Dr, Marietta, GA 30062-5061 | 2020-01-30 |
| 1629594049 | Andrew D Quach | Pharmacist | 3605 Sandy Plains Rd Ste 200, Marietta, GA 30066-3066 | 2017-08-17 |
| 1437608742 | Houda Aboujamous | Pharmacist | 958 Chestnut Hill Rd Sw, Marietta, GA 30064-2955 | 2016-09-27 |
| 1639777147 | Valerie Elise Neesmith | Pharmacist | 3162 Johnson Ferry Rd, Marietta, GA 30062-7604 | 2020-10-16 |
| 1871191635 | Sarah Murihia | Pharmacist | 1122 Powers Ferry Rd Se, Marietta, GA 30067-5753 | 2020-10-14 |
| 1760080642 | Gabrielle Horne | Pharmacist | 1000 Whitlock Ave Nw, Marietta, GA 30064-5455 | 2020-10-13 |
| 1629686134 | Annie Lee | Pharmacist | 4880 Lower Roswell Rd, Marietta, GA 30068-4375 | 2020-07-21 |
| 1750917761 | Elizabeth Carpenter | Pharmacist | 2100 Roswell Rd, Marietta, GA 30062-0810 | 2020-03-21 |
| 1609400878 | Marlo H Privitera | Pharmacist | 3595 Canton Rd, Marietta, GA 30066-2658 | 2020-02-26 |
| Find all providers in MARIETTA | ||||
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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.