PLAZA ENTERPRISES LTD (NPI# 1366432411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366432411 |
| Entity Type | Organization |
| Organization Name | PLAZA ENTERPRISES LTD |
| Other Organization Name | MEDICINE CENTER PHARMACY |
| Practice Address |
1634 Jonesboro Rd Se Atlanta GA 30315-5260 |
| Practice Telephone | 4046275745 |
| Practice Fax Number | 4049359427 |
| Mailing Telephone | 4046275745 |
| Mailing Fax Number | 4049359427 |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROSEMARY OFUME (CHIEF PHARMACIST/CEO) |
| Authorized Official Telephone | 4046275745 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 008238 | GA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00788598 | 05 |
| Other Name | Type Code |
|---|---|
| MEDICINE CENTER PHARMACY | Doing Business As Name - Organization |
| Street Address |
1634 JONESBORO RD SE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30315-5260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295294239 | Eden Pharmacy LLC | Pharmacy | 1634 Jonesboro Rd Se, Atlanta, GA 30315-5260 | 2019-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083181341 | Erin Cole | Specialist/Technologist | Lakewood Ave Se, Atlanta, GA 30315 | 2018-10-25 |
| 1942701081 | Julie Crocker | Dental Hygienist | 1046 Ridge Ave. Sw, Atlanta, GA 30315 | 2018-02-23 |
| 1457695850 | Dominica Aquino Morales-gibson | Physical Therapist | 2850 Springdale Road Sw, Atlanta, GA 30315 | 2012-11-26 |
| 1912264813 | Maxwell Uhakheme | Internal Medicine | 6875 Douglas Blvd, Suite A, Kaiser Permanente Douglasville Medical Center, Douglasville, GA 30315 | 2012-04-16 |
| 1427329093 | Sulonda Smith | Counselor | 34 Atlanta Ave. Se, Hank Aaron Blvd, Atlanta, GA 30315 | 2012-01-13 |
| 1407152507 | Gerald Leroy Griffin | Pharmacist | 520 Boulevard, Atlanta, GA 30315 | 2011-02-07 |
| 1245404854 | Tunisia Finch Cornelius | Dermatology | 1039 Grant St Se Ste A-11, Atlanta, GA 30315 | 2008-04-15 |
| 1356512180 | Chandra Blakely | Counselor | 215 Lakewood Way, Suite 205, Atlanta, GA 30315 | 2008-03-19 |
| 1104043967 | Alvin H. Clair, M.d.p.c. | Dermatology | 777 Cleveland Ave.,sw Ste.500, Atlanta, GA 30315 | 2007-04-20 |
| 1396877742 | Scott M Russell | Speech-Language Pathologist | 1364 Clifton Road, Atlanta, GA 30315 | 2007-03-12 |
| Find all providers in zip 30315 | ||||
| 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 | ||||
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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.