DR. SARAH ALLYSON FENDER (NPI# 1346562550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346562550 |
| Entity Type | Individual |
| Full Name | DR. SARAH ALLYSON FENDER |
| Practice Address |
1300 Madison Ave S Douglas GA 31533-4404 |
| Mailing Address |
1700 Tanglewood Dr Douglas GA 31533-7940 |
| Practice Telephone | 9123840144 |
| Mailing Telephone | 9123837704 |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2010-02-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH023280 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861703985 | Sarah M Fender | Licensed Practical Nurse | 25330 Shoreview Ave, Euclid, OH 44132-1020 | 2010-06-23 |
| 1083223382 | Sarah Fender | Registered Nurse | 2200 Del Paso Blvd, Sacramento, CA 95815-3102 | 2020-07-23 |
| 1174155360 | Sarah Elizabeth Fender | Social Worker | 4242 Delaware St, Denver, CO 80216-2618 | 2020-02-06 |
| 1881180552 | Sarah Fender | Speech-Language Pathologist | 417 Commercial Ct Ste C, Venice, FL 34292-1655 | 2018-07-06 |
| 1689186116 | Sarah Proctor Fender | Physician Assistant | 1300 Hospital Dr Ste 120, Mount Pleasant, SC 29464-3204 | 2017-10-24 |
| Street Address |
1300 MADISON AVE S |
| City | DOUGLAS |
| State | GA |
| Zip Code | 31533-4404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932431145 | Samuel Calvin Ray | Pharmacist | 1300 Madison Ave S, Douglas, GA 31533-4404 | 2010-02-12 |
| 1578812962 | Jared William Swain | Pharmacist | 1300 Madison Ave S, Kmart Pharmacy, Douglas, GA 31533-4404 | 2012-08-31 |
| 1003847146 | K Mart Corp | Pharmacy | 1300 Madison Ave S, Douglas, GA 31533-4404 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470964 | Swain Drug Company LLC | Pharmacy | 855 Bowens Mill Rd Sw Suite E, Douglas, GA 31533 | 2020-09-03 |
| 1811528649 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 211 North Street, Douglas, GA 31533 | 2020-01-30 |
| 1952940793 | Teresa Smith | Pharmacist | 901 W Ward St, Douglas, GA 31533 | 2019-12-26 |
| 1447641048 | Jennifer Spivey | Nurse Practitioner | 326 Shirley Avenue, Douglas, GA 31533 | 2015-02-18 |
| 1972914497 | Jessica Lynne Courson | Nurse Practitioner | 903 West Ward Street, Suite B, Douglas, GA 31533 | 2014-05-19 |
| 1063840296 | South Central Primary Care Center | Clinic/Center | 303 Shirley Ave, Ste B, Douglas, GA 31533 | 2013-10-25 |
| 1336411008 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 118 Coweta Avenue South, Douglas, GA 31533 | 2012-01-27 |
| 1346482700 | V and V Clinic | Pediatrics | 1020 West Bryan Street, Douglas, GA 31533 | 2009-04-01 |
| 1063650406 | Jayla Snipes Bullock | Speech-Language Pathologist | 618 Bowens Mill Road Sw, Douglas, GA 31533 | 2009-01-22 |
| 1417112707 | Southern Community Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 315 S. Gaskin Ave, Douglas, GA 31533 | 2008-07-25 |
| Find all providers in zip 31533 | ||||
| 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 |
|---|---|---|---|---|
| 1952940793 | Teresa Smith | Pharmacist | 901 W Ward St, Douglas, GA 31533 | 2019-12-26 |
| 1538461165 | Kariem Feisal Ismail | Pharmacist | 90 E 3rd St, Douglas, AZ 85607-3154 | 2010-12-02 |
| 1538483821 | Zakarry R Oban | Pharmacist | 1001 Laredo Dr, Douglas, WY 82633-3007 | 2010-03-16 |
| 1932431145 | Samuel Calvin Ray | Pharmacist | 1300 Madison Ave S, Douglas, GA 31533-4404 | 2010-02-12 |
| 1982894739 | Tanisha Crystal Dexter | Pharmacist | 1202 East Richards Street, Douglas, WY 82633 | 2007-07-27 |
| 1174736177 | Suzanne Marie Crase | Pharmacist | 90 Fifth St., Douglas, AZ 85607 | 2007-05-07 |
| 1720129042 | Jan G. Scott | Pharmacist | 1401 Huffer Rd, Douglas, GA 31533-7611 | 2007-02-09 |
| 1033264478 | Carlos Edward Orendain | Pharmacist | 90 W 5th St, Douglas, AZ 85607-2851 | 2007-01-24 |
| 1730124587 | Mcraes Pharmacy of Douglas Inc | Pharmacist | 1002 Ward St W, Douglas, GA 31533-2251 | 2006-06-17 |
| 1871594895 | Shatto Drug Inc | Pharmacist | 1202 E Richards St, Douglas, WY 82633-2934 | 2005-08-02 |
| Find all providers in DOUGLAS | ||||
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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.