LATICIA DAVON JOLLY (NPI# 1386911501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386911501 |
| Entity Type | Individual |
| Full Name | LATICIA DAVON JOLLY |
| Credential | RPH |
| Practice Address |
4071 Lee Rd Cleveland OH 44128-2100 |
| Mailing Address |
4071 Lee Rd Cleveland OH 44128 |
| Practice Telephone | 2165611318 |
| Mailing Telephone | 2165611318 |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2011-11-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 03-124313 | OH | Pharmacy Service Providers |
| Street Address |
4071 LEE RD |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44128-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063456416 | Nathan R Beachy | Family Medicine | 4071 Lee Rd, Metrohealth Lee-harvard Health Center, Cleveland, OH 44128-2100 | 2006-06-16 |
| 1538720651 | Fathallah Mohamed Fathallah Ghattas | Dentist | 4071 Lee Rd, Cleveland, OH 44128-2100 | 2019-06-28 |
| 1922565084 | Reem Nazarjasim Al Ameen | Dentist | 4071 Lee Rd, Cleveland, OH 44128-2100 | 2019-02-25 |
| 1346747946 | Osh-oh Physicians Group PC | Clinic/Center | 4071 Lee Rd, Cleveland, OH 44128 | 2018-04-10 |
| 1134512452 | Brittiny Brown | Pharmacist | 4071 Lee Rd, Cleveland, OH 44128-2100 | 2015-03-11 |
| 1285970947 | Bar-lor Inc. | Home Health | 4071 Lee Rd, Suite B1, Cleveland, OH 44128-2100 | 2012-12-27 |
| 1447563515 | Nishanthini Sooriyapalan | Family Medicine | 4071 Lee Rd, Cleveland, OH 44128-2100 | 2010-07-19 |
| 1831369743 | Christl C Howze | Physician Assistant | 4071 Lee Rd, Cleveland, OH 44128-2100 | 2008-03-06 |
| 1376730507 | Bar-lor Inc. | Home Health | 4071 Lee Rd, B1, Cleveland, OH 44128-2100 | 2007-10-02 |
| 1255342622 | Christina M Antenucci | Family Medicine | 4071 Lee Rd, Metrohealth Lee-harvard Health Center (lh), Cleveland, OH 44128-2100 | 2006-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396345286 | Aellen Home Care LLC | In Home Supportive Care | 4731 Country Lane, Apt B30, Warrensville Hts, OH 44128 | 2020-10-29 |
| 1740813450 | Lakeithia Carter | Case Management | 4663 Walford Rd, 6, Warrensville, OH 44128 | 2020-02-20 |
| 1336706795 | Jeanna S Cannon | Home Health Aide | 20571 Ellacott Parkway, Suite 633, Warrensville Hts, OH 44128 | 2019-05-21 |
| 1003301672 | Johnny Cleaver Huff | Peer Specialist | 17005 Deforest Ave, Cleveland, OH 44128 | 2018-06-26 |
| 1952891905 | Golden Hearts Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 19704 Longbrook Rd, Warrensville Heights, OH 44128 | 2018-05-15 |
| 1326537671 | Hollie Irving | Case Manager/Care Coordinator | 3860 E 149th St, Cleveland, OH 44128 | 2018-05-02 |
| 1083128789 | Cherae Daniel | Licensed Practical Nurse | 4101 East 151 Street, Cleveland, OH 44128 | 2017-11-17 |
| 1770007023 | Lynda Robinson | Occupational Therapist | 25001 Emery Rd, Suite 100, Warrensville Hts, OH 44128 | 2017-07-28 |
| 1205285608 | Leslie Johnson | Licensed Practical Nurse | 4085 East 175 Th Street, Cleveland, OH 44128 | 2016-06-07 |
| 1083094742 | Elaina Patterson | Licensed Practical Nurse | 4100 E. 154th St, Cleveland, OH 44128 | 2015-06-08 |
| Find all providers in zip 44128 | ||||
| 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 |
|---|---|---|---|---|
| 1659972305 | Rosemary Jean Snow | Pharmacist | 5841 W 130th St, Cleveland, OH 44130-9308 | 2020-11-07 |
| 1811513377 | Anthony Wasielewski | Pharmacist | 1415 W 112th St Apt 23, Cleveland, OH 44102-2371 | 2020-06-21 |
| 1306495320 | Letha Rebecca Gilbert | Pharmacist | 240 Starlet Cir Ne, Cleveland, TN 37323-6416 | 2019-09-11 |
| 1295388205 | Mai Nguyen | Pharmacist | 10701 East Blvd # 119, Cleveland, OH 44106-1702 | 2019-07-18 |
| 1457847485 | Tammy Griffin | Pharmacist | 84 Cleveland Highway, Cleveland, GA 30528-7804 | 2018-07-02 |
| 1699282533 | Jignasa Bhavin Patel | Pharmacist | 5727 Avenwood Cir Nw, Cleveland, TN 37312-8235 | 2018-01-01 |
| 1497270425 | Peter A Wirkowski | Pharmacist | 1730 W 25th St Dept Of, Cleveland, OH 44113-3108 | 2017-08-10 |
| 1376079699 | Anna Vanbenschoten | Pharmacist | 300 25th St Ne, Apt 6034, Cleveland, TN 37311-3991 | 2017-05-05 |
| 1699215772 | Patricia Anne Caffrey | Pharmacist | 9885 Rockside Rd, Suite 157, Cleveland, OH 44125-6273 | 2017-03-08 |
| 1437517737 | Souhail Francis | Pharmacist | 13412 Sprecher Ave, Cleveland, OH 44135-5050 | 2016-02-02 |
| Find all providers in CLEVELAND | ||||
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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.