FRED C GURLEY (NPI# 1467590646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467590646 |
| Entity Type | Individual |
| Full Name | FRED C GURLEY |
| Credential | RPH |
| Practice Address |
86 N Public Sq Jefferson GA 30549-1084 |
| Mailing Address |
864 Storey Porter Rd Jefferson GA 30549-2628 |
| Practice Telephone | 7063675252 |
| Practice Fax Number | 7063672283 |
| Mailing Telephone | 7063679391 |
| Mailing Fax Number | 7063672283 |
| Enumeration Date | 2007-02-01 |
| 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 | 13080 | GA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00025495A | 05 |
| Street Address |
86 N PUBLIC SQ |
| City | JEFFERSON |
| State | GA |
| Zip Code | 30549-1084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659385060 | Crawford W Long Pharmacy Inc | Pharmacy | 86 N Public Sq, Jefferson, GA 30549-1084 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356723464 | Lindsey Marie Whitworth | Pharmacist | 918 Old Forge Lane, Jefferson, GA 30549 | 2015-06-25 |
| 1780835876 | Jeanna Ellis | Pharmacist | 1305 Washington St., Jefferson, GA 30549 | 2008-10-07 |
| 1578769246 | William Robert Newell | Dentist | 1689 Old Pendergrass Rd., Suite 350, Jefferson, GA 30549 | 2007-06-21 |
| 1003950825 | Regional Firstcare | Emergency Medicine | 528 Panther Drive, Jefferson, GA 30549 | 2007-02-16 |
| 1629118096 | Susan Marie Bell | Dietitian, Registered | 341 General Jackson Drive, Jefferson, GA 30549 | 2007-02-07 |
| 1538254008 | Douglas E Cleveland | Dentist | 411 Athens Street, Jefferson, GA 30549 | 2006-10-03 |
| 1740382894 | Tammy G Smith | Clinic/Center | 2610 Hwy 129 N, Jefferson, GA 30549 | 2006-09-01 |
| 1881641264 | Peak Rehabilitation, Inc | Clinic/Center | 1660 Washington St, Jefferson, GA 30549 | 2006-05-30 |
| 1801372578 | Stephen Edward Conwell | Nurse Practitioner | 1685 Old Pendergrass Rd, Jefferson, GA 30549 | 2018-07-16 |
| 1255871992 | Life Point Dental | Clinic/Center | 660 Washington St., Jefferson, GA 30549 | 2017-02-28 |
| Find all providers in zip 30549 | ||||
| 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 |
|---|---|---|---|---|
| 1154922904 | Hayley Allen | Pharmacist | 2667 Maple Rd, Jefferson, OH 44047-9751 | 2020-11-06 |
| 1356723464 | Lindsey Marie Whitworth | Pharmacist | 918 Old Forge Lane, Jefferson, GA 30549 | 2015-06-25 |
| 1629345806 | Kimesh Bhana | Pharmacist | 530 James Madison Ct, Jefferson, GA 30549-7137 | 2011-11-16 |
| 1619251303 | Ddp Fitness | Pharmacist | 7 Helen Ave, Jefferson, LA 70121-2603 | 2011-09-29 |
| 1780835876 | Jeanna Ellis | Pharmacist | 1305 Washington St., Jefferson, GA 30549 | 2008-10-07 |
| 1457547044 | Gkb Inc | Pharmacist | 418 East Main St, Jefferson, NC 28640 | 2007-09-18 |
| 1205959061 | Heather L Acton | Pharmacist | 100 N Wilson Ave, Jefferson, IA 50129-2116 | 2007-04-09 |
| 1386766202 | John W Green | Pharmacist | 1221 Rushridge Rd, Jefferson, IA 50129-2306 | 2007-04-03 |
| 1447379482 | Navin Patel | Pharmacist | 1305 Washington Street, Jefferson, GA 30549-2879 | 2007-03-29 |
| 1093860108 | William Hoyt Monroe | Pharmacist | 400 North Elm Street, Jefferson, IA 50129 | 2007-01-25 |
| Find all providers in JEFFERSON | ||||
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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.