BRIAN GONZALEZ (NPI# 1437663762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437663762 |
| Entity Type | Individual |
| Full Name | BRIAN GONZALEZ |
| Credential | R.PH. |
| Practice Address |
1620 Prince Ave Athens GA 30606-6008 |
| Practice Telephone | 7064330933 |
| Practice Fax Number | 7064330934 |
| Mailing Telephone | 7063083579 |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2017-11-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH019190 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477663953 | Brian Michael Gonzalez | Pharmacist | 5901 E 7th St, Long Beach, CA 90822-5201 | 2006-08-30 |
| Street Address |
1620 PRINCE AVE |
| City | ATHENS |
| State | GA |
| Zip Code | 30606-6008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548241615 | Reginald Strother | Pain Medicine | 1620 Prince Ave, Athens, GA 30606-6008 | 2005-11-07 |
| 1982194858 | Viviene Johnson Brown | Nurse Practitioner | 1620 Prince Ave, Athens, GA 30606 | 2018-05-15 |
| 1770001745 | Amy Nicole Cheeks | Nurse Practitioner | 1620 Prince Ave, Athens, GA 30606-6008 | 2017-08-30 |
| 1750809687 | Emily Diane Brooks | Nurse Practitioner | 1620 Prince Ave, Athens, GA 30606-6008 | 2017-08-30 |
| 1679000459 | Jamie Nicole Mauney | Nurse Practitioner | 1620 Prince Ave, Athens, GA 30606-6008 | 2017-05-11 |
| 1285826271 | Denise Johnson | Nurse Practitioner | 1620 Prince Ave, Athens, GA 30606-6008 | 2007-08-14 |
| 1548462872 | Christopher Michael Whitmore | Physical Therapist | 1620 Prince Ave, Athens, GA 30606-6008 | 2007-05-31 |
| 1952519027 | Nicole Dorfling James | Physician Assistant | 1620 Prince Ave, Athens, GA 30606-6008 | 2007-05-20 |
| 1104900497 | Northeast Georgia Anesthesia Services Inc. | Pain Medicine | 1620 Prince Ave, Athens, GA 30606-6008 | 2006-10-24 |
| 1063507630 | Northeast Georgia Procedure Center LLC | Clinic/Center | 1620 Prince Ave, Suite B, Athens, GA 30606-6008 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
| 1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
| 1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
| 1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
| Find all providers in zip 30606 | ||||
| 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 |
|---|---|---|---|---|
| 1912508797 | Vince R Koping | Pharmacist | 929 East State St, Athens, OH 45701 | 2020-11-06 |
| 1336755172 | Leigh Ann Perri O'dowd | Pharmacist | 1260 S Milledge Ave Apt F-1, Athens, GA 30605-1477 | 2020-09-17 |
| 1932724192 | Alyssa Reynolds | Pharmacist | 215 Us Highway 31 S, Athens, AL 35611-2892 | 2020-06-13 |
| 1790331049 | Selma Kajtazovic | Pharmacist | 250 W Green St, Athens, GA 30602-5036 | 2019-08-13 |
| 1396397543 | Brittany M Delettre | Pharmacist | 355 Jennings Mill Pkwy Apt 1223, Athens, GA 30606-7281 | 2019-07-09 |
| 1699335638 | Megan Minehart | Pharmacist | 75 Hospital Dr Ste 130, Athens, OH 45701-2858 | 2019-06-20 |
| 1588136386 | Matthew Taylor Bridges | Pharmacist | 168 Hart Ave, Athens, GA 30606-6722 | 2018-12-19 |
| 1710490024 | Sandipkumar S Bhagat | Pharmacist | 130 Gaines School Rd, Athens, GA 30605-3118 | 2017-11-08 |
| 1356865935 | Elizabeth Anne Price | Pharmacist | 9249 Hwy 29, Athens Community Based Outpatient Va Clinic, Athens, GA 30601 | 2017-07-26 |
| 1184172934 | Erik Alan Jenkins | Pharmacist | 2131 E. State St., Holzer Family Pharmacy, Athens, OH 45701 | 2016-09-21 |
| Find all providers in ATHENS | ||||
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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.