MR. ROBERT BENJAMIN MOODY III (NPI# 1366464604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366464604 |
| Entity Type | Individual |
| Full Name | MR. ROBERT BENJAMIN MOODY III |
| Credential | RPH. |
| Practice Address |
380 Hospital Dr Ste 175-a Macon GA 31217-8001 |
| Mailing Address |
644 Millrun Ct Macon GA 31210-7538 |
| Practice Telephone | 4787455431 |
| Practice Fax Number | 4787654359 |
| Mailing Telephone | 4784718686 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH017629 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093813412 | Robert E Moody | Dentist | 538 Main St, Half Moon Bay, CA 94019-1922 | 2006-09-20 |
| 1598767345 | Robert Michael Moody | Dentist | 302 W 3rd St, Eureka, KS 67045-1404 | 2005-08-11 |
| 1679918650 | Robert Moody | Counselor | 52 W Pleasant St, Claremont, NH 03743-3055 | 2013-05-06 |
| 1912252172 | Robert Allen Moody II | Family Medicine | 1600 W University Blvd, Durant, OK 74701-3094 | 2012-07-13 |
| 1790900207 | Robert Patrick Moody | Psychologist | 303 Downey Ave, Modesto, CA 95354-1203 | 2007-04-17 |
| 1326054446 | Robert Moody | Physician Assistant | 99 Doctors Dr, Suite 700, Munford, TN 38058 | 2006-07-31 |
| Street Address |
380 HOSPITAL DR STE 175-A |
| City | MACON |
| State | GA |
| Zip Code | 31217-8001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326535998 | Khuzema Mohsin | Student in an Organized Health Care Education/Training Program | 380 Hospital Drive, Building A, Suite 430, Macon, GA 31217 | 2018-04-18 |
| 1083135271 | Angela Polk | Nurse Practitioner | 310 Hospital Dr Ste 305, Macon, GA 31217 | 2017-06-28 |
| 1235662305 | Natalie Rodziewicz | Student in an Organized Health Care Education/Training Program | 380 Hospital Drive, Suite 430, Macon, GA 31217 | 2017-04-06 |
| 1427430180 | Brett Forehand | Nurse Practitioner | 330 Hospital Dr Ste 304, Macon, GA 31217 | 2015-06-18 |
| 1376772640 | Beverly Barksdale Sanders IIi | Internal Medicine | 330 Hospital Dr., Ste. 304, Macon, GA 31217 | 2009-07-08 |
| 1528218393 | Vladimir Zahradnik | Surgery | 380 Hospital Dr Bldg A Ste 320, Macon, GA 31217 | 2008-09-29 |
| 1821274267 | Mary Charmaine Estrella Campana | Physical Therapist | 380 Hospital Drive, Building A, Ste. 430, Macon, GA 31217 | 2008-01-16 |
| 1033300785 | Joann Sams Sinclair | Nurse Practitioner | 4164 Riggins Mill Road, Macon, GA 31217 | 2007-08-07 |
| 1376689737 | Grier Godfrey | Dentist | Macon-bibb County Health Department, 171 Emery Highway, Macon, GA 31217 | 2007-01-30 |
| 1053408328 | Sujatha K. Reddy | Psychiatry & Neurology | 175 Emery Highway, Macon, GA 31217 | 2006-10-06 |
| Find all providers in zip 31217 | ||||
| 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 |
|---|---|---|---|---|
| 1417421785 | Clara H Vinh | Pharmacist | 513 Litchfield Dr, Macon, GA 31220-7620 | 2019-01-19 |
| 1558837443 | Kenneth Edo Amayo | Pharmacist | 399 Plantation Way Apt 2420, Macon, GA 31210-9314 | 2018-10-17 |
| 1952706343 | Matthew Wayne Frazier | Pharmacist | 4260 Log Cabin Dr, Macon, GA 31204 | 2014-10-28 |
| 1669875258 | Jennifer Niemeier | Pharmacist | 2587 Nancelon Cir N, Macon, GA 31204-1743 | 2014-09-26 |
| 1306245592 | Pasquale Pietrefesa | Pharmacist | 423 Panorama Pl, Macon, GA 31220-2652 | 2014-08-14 |
| 1194133009 | Patricia Howard | Pharmacist | 156 Tom Hill Senior Blvd, Macon, GA 31210-8014 | 2014-07-24 |
| 1215270442 | Savanah Renee Derossett | Pharmacist | 3990 Riverside Park Blvd, 1108, Macon, GA 31210-1054 | 2013-04-06 |
| 1528305695 | Hollie Elizabeth Hightower | Pharmacist | 195 Tom Hill Sr Blvd, Macon, GA 31210-1816 | 2013-01-09 |
| 1952696585 | Shelita L Baker | Pharmacist | 4685 Presidential Pkwy, T-1379, Macon, GA 31206-8712 | 2011-06-11 |
| 1215236021 | Eleonor S Constantino | Pharmacist | 892 Pierce Ave, Macon, GA 31204-1531 | 2011-03-18 |
| Find all providers in MACON | ||||
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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.