LISA SANDERS (NPI# 1417587940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417587940 |
| Entity Type | Individual |
| Full Name | LISA SANDERS |
| Credential | RPH |
| Practice Address |
2655 Freedom Pkwy Cumming GA 30041-9177 |
| Mailing Address |
6010 Alder Way Cumming GA 30040-9593 |
| Practice Telephone | 7707816689 |
| Mailing Telephone | 7706537744 |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-01-23 |
| 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 |
015795 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920247 | Lisa Kalynn Sanders | Nurse Practitioner | 2128 Page Creek Trl, Longview, TX 75601-0007 | 2020-10-20 |
| 1003432303 | Lisa Marie Sanders | Counselor | 7350 Montgomery Rd Ste 516, Cincinnati, OH 45236-7500 | 2020-06-23 |
| 1881162402 | Lisa Jeanne Sanders | Internal Medicine | 1315 E 7th Ave Ste 104, Tampa, FL 33605-3606 | 2018-11-13 |
| 1609046721 | Lisa Sanders | Internal Medicine | 2075 W Pecos Rd Ste 1, Chandler, AZ 85224-5723 | 2008-03-04 |
| 1548319726 | Lisa Ann Sanders | Licensed Practical Nurse | 18724 Fairway Ave, Maple Heights, OH 44137-1611 | 2007-01-09 |
| 1356439707 | Lisa Marie Sanders | Technician, Other | 54 Tillson Ave, Rockland, ME 04841-3417 | 2006-10-11 |
| 1467476903 | Lisa Jennifer Sanders | Nurse Practitioner | 900 W 48th Pl Ste 900, Kansas City, MO 64112-1899 | 2006-07-27 |
| 1235196734 | Lisa Marie Sanders | Chiropractor | 1525 Lexington Ave, Lawrenceville, IL 62439-2260 | 2006-04-27 |
| 1073594602 | Lisa M Sanders | Social Worker | 3250 Route 27, 103, Kendall Park, NJ 08824-1536 | 2005-11-10 |
| 1831691435 | Lisa Sanders | Pharmacist | 3960 Lindell Blvd, Saint Louis, MO 63108-3204 | 2018-02-28 |
| Street Address |
2655 FREEDOM PKWY |
| City | CUMMING |
| State | GA |
| Zip Code | 30041-9177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730104514 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 2655 Freedom Pkwy, Cumming, GA 30041-9177 | 2006-07-13 |
| 1982203907 | Xin Wang | Pharmacist | 2655 Freedom Pkwy, Cumming, GA 30041-9177 | 2020-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962036905 | Annie Kyungjin Han | Nurse Practitioner | 1505 Northside Forsyth Drive, Suite 2500, Cumming, GA 30041 | 2020-02-28 |
| 1295388197 | Pamela Edler | Pharmacist | 1200 Northside Forsyth Drive, Pharmacy Department, Cumming, GA 30041 | 2019-07-19 |
| 1720557127 | Dr. Tiffany Lamonde LLC | Physical Therapist | 1445 Haw Creek Circle, Suite 503, Cumming, GA 30041 | 2018-11-15 |
| 1487140893 | Bhbd LLC | Chiropractor | 425 Peachtree Parkway, Suite 315, Cumming, GA 30041 | 2018-07-09 |
| 1891219861 | Anna Gawrys | Pharmacist | 1525 Marketplace Blvd, Cumming, GA 30041 | 2017-08-01 |
| 1679029219 | Square One Dental LLC | Clinic/Center | 3510 Rowe Lane, Cumming, GA 30041 | 2016-09-01 |
| 1720441454 | Pavilion Psychological Services LLC | Psychologist | 1445 Haw Creek Corners Circle East, Suite 501, Cumming, GA 30041 | 2016-03-31 |
| 1346606506 | American Health Imaging of Ga, LLC | Clinic/Center | 1050 Haw Creek Pkwy, Suite 100, Cumming, GA 30041 | 2016-01-04 |
| 1013311307 | Stephen Hartle | Physician Assistant | 2576 Peachtree Pkwy, Suite 100, Cumming, GA 30041 | 2014-10-15 |
| 1063828408 | Stephanie Evans Wellborn | Physician Assistant | 1800 Northside Forsyth Dr Ste 450, Cumming, GA 30041 | 2014-07-07 |
| Find all providers in zip 30041 | ||||
| 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 |
|---|---|---|---|---|
| 1497388904 | Ben Allen Sanders | Pharmacist | Kroger Pharmacy 627, 5550 Bethelview Road, Cumming, GA 30040 | 2020-02-13 |
| 1144469743 | Alison Lyons Thomas | Pharmacist | 2100 Northside Forsyth Drive, Cumming, GA 30041 | 2009-02-05 |
| 1861091951 | Azra Malik | Pharmacist | 5550 Bethelview Rd, Cumming, GA 30040-6859 | 2020-10-20 |
| 1083246235 | Dane Blake Cheek | Pharmacist | 5550 Bethelview Rd, Cumming, GA 30040-6859 | 2020-02-06 |
| 1740811678 | Vladislav Zima | Pharmacist | 5550 Bethelview Rd, Cumming, GA 30040-6859 | 2020-01-29 |
| 1285265314 | Melinda Pounds Gillespie | Pharmacist | 1595 Peachtree Pkwy, Cumming, GA 30041-9584 | 2020-01-28 |
| 1386274694 | Alison Hunter Eikenberry | Pharmacist | 2345 Bethelview Rd, Cumming, GA 30040-9473 | 2020-01-26 |
| 1689214058 | Harold Toney Owenby | Pharmacist | 2345 Bethelview Rd, Cumming, GA 30040-9473 | 2020-01-13 |
| 1194239210 | Abdullah Omar Katoot | Pharmacist | 907 Buford Rd Ste 600, Cumming, GA 30041-2733 | 2017-11-28 |
| 1790157105 | Rozita Tebyanian | Pharmacist | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 | 2015-10-25 |
| Find all providers in CUMMING | ||||
Please comment or provide details below to improve the information on LISA SANDERS.
| 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.