MRS. LAURA BRADLEY SHACK (NPI# 1437562303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437562303 |
| Entity Type | Individual |
| Full Name | MRS. LAURA BRADLEY SHACK |
| Credential | RPH |
| Practice Address |
535 Brightmore Downs Johns Creek GA 30005-6705 |
| Practice Telephone | 7705598130 |
| Enumeration Date | 2014-06-08 |
| Last Update Date | 2014-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 025529 | GA | Pharmacy Service Providers |
| Street Address |
535 BRIGHTMORE DOWNS |
| City | JOHNS CREEK |
| State | GA |
| Zip Code | 30005-6705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615483 | Amarrah Shatia Guyton | Behavior Technician | 6505 Shiloh Point Road, Alpharetta, GA 30005 | 2020-09-29 |
| 1396351771 | Stephanie Hightower | Behavior Technician | 6505 Shiloh Pt Rd, Alpharetta, GA 30005 | 2020-09-21 |
| 1689130874 | Optima Eye Care LLC | Optometrist | 6365 Halcyon Way, Suite 935, Alpharetta, GA 30005 | 2019-02-13 |
| 1275006652 | Ariel Kaitlyn Petrakovich | Behavioral Analyst | 6505 Shiloh Road, Suite 100, Alpharetta, GA 30005 | 2019-01-08 |
| 1003306515 | Brightview Pharmacy, LLC | Pharmacy | 3333 Old Milton Pkwy Ste 130, Alpharetta, GA 30005 | 2018-05-10 |
| 1316452600 | Kara Marie Arps | Physical Therapist | 855 Yearling Chase, Alpharetta, GA 30005 | 2017-12-08 |
| 1417468307 | Paige Biringer | Physical Therapist | 6495 Shiloh Rd Ste 100, Alpharetta, GA 30005 | 2017-10-18 |
| 1528587169 | Laura Kinney Pearce | Speech-Language Pathologist | 6505 Shiloh Rd #100, Alpharetta, GA 30005 | 2017-09-14 |
| 1629526678 | Samantha Menton | Chiropractor | 11875 Jones Bridge Road, Suite A, Alpharetta, GA 30005 | 2016-09-20 |
| 1427424183 | Trek Medical, LLC | Clinic/Center | 5895 Windward Parkway, Suite 150, Alpharetta, GA 30005 | 2015-08-18 |
| Find all providers in zip 30005 | ||||
| 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 |
|---|---|---|---|---|
| 1033660329 | Matthew Schuster | Pharmacist | 2908 Addison Ln, Johns Creek, GA 30005-5060 | 2016-10-20 |
| 1922551357 | Mica Inge Koli | Pharmacist | 6055 Millwick Dr, Johns Creek, GA 30005-6743 | 2016-08-02 |
| 1629454418 | Rupal Patel | Pharmacist | 4765 Roswell Mill Dr, Johns Creek, GA 30022-4592 | 2015-08-04 |
| 1891077830 | Pranjali Rane | Pharmacist | 6410 Hospital Pkwy, Johns Creek, GA 30097-1546 | 2011-09-15 |
| 1639723562 | Ji Hea Min | Pharmacist | 9925 Haynes Bridge Rd, Johns Creek, GA 30022-8532 | 2019-07-29 |
| 1578117933 | Soonji Kwon | Pharmacist | 9925 Haynes Bridge Rd, Johns Creek, GA 30022-8532 | 2019-07-24 |
| 1265954242 | Shrina Chandrakant Patel | Pharmacist | 9925 Haynes Bridge Rd, Johns Creek, GA 30022-8532 | 2017-07-12 |
| 1518310796 | Meenakshi Chugh | Pharmacist | 3719 Old Alabama Rd, Johns Creek, GA 30022-8675 | 2016-07-22 |
| 1073987129 | Nhi Tran | Pharmacist | 9925 Haynes Bridge Rd, Johns Creek, GA 30022-8532 | 2015-11-30 |
| 1427455963 | Jennifer Rose Ries | Pharmacist | 3003 Old Alabama Rd, Johns Creek, GA 30022-8594 | 2014-11-26 |
| Find all providers in JOHNS CREEK | ||||
| City | JOHNS CREEK |
| Zip Code | 30005 |
Please comment or provide details below to improve the information on MRS. LAURA BRADLEY SHACK.
| 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.