DR. LATANYA MICKENS (NPI# 1477068948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477068948 |
| Entity Type | Individual |
| Full Name | DR. LATANYA MICKENS |
| Credential | PHARMD |
| Practice Address |
992 Lansfaire Xing Suwanee GA 30024-6950 |
| Mailing Address |
3350 Peachtree Rd Ne Atlanta GA 30326-1039 |
| Practice Telephone | 6788245045 |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2017-12-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH024035 | GA | Pharmacy Service Providers |
| Street Address |
992 LANSFAIRE XING |
| City | SUWANEE |
| State | GA |
| Zip Code | 30024-6950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996565 | Stephanie Arkin | Student in an Organized Health Care Education/Training Program | 25 Old Peachtree Rd Nw, Suwanee, GA 30024 | 2019-08-05 |
| 1164989638 | Laquitta Craft | Registered Nurse | 2855 Lawrenceville Suwanee Road Suite 330/340, Suwanee, GA 30024 | 2019-02-21 |
| 1467937235 | Greater Atlanta Monitoring, LLC | Electrodiagnostic Medicine | 3651 Peachtree Ste E. #331, Suwanee, GA 30024 | 2018-09-27 |
| 1760963482 | Esther Natacha Lafontant | Public Health or Welfare | 3205 Maple Terrace Drive, Suwanee, GA 30024 | 2018-08-22 |
| 1740778463 | Immaculate Healthcare Solutions, LLC | Home Health | 970 Peachtree Industrial Blvd Ste 8, Suwanee, GA 30024 | 2018-04-27 |
| 1053819235 | Sean Wonsuk Jang | Chiropractor | 3370 Lawrenceville Suwanee Rd Ste 118, Suwanee, GA 30024 | 2018-01-23 |
| 1932628468 | Silver Health Services, Inc. | Case Manager/Care Coordinator | 2640 Westbury Court, Swanee, GA 30024 | 2017-09-15 |
| 1285159095 | April L. Rivers | Nurse Practitioner | 4411 Suwanee Dam Rd Ste 110, Suwanee, GA 30024 | 2017-08-14 |
| 1144743840 | Nabil Elkareh | Pharmacist | 5049 Tarry Glen Drive., Suwanee, GA 30024 | 2017-07-25 |
| 1720508294 | Robert A Finkel Dds PC | Clinic/Center | 1325 Satellite Blvd Nw Ste 1304, Suwanee, GA 30024 | 2017-06-26 |
| Find all providers in zip 30024 | ||||
| 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 |
|---|---|---|---|---|
| 1851920326 | Gary Payton | Pharmacist | 4948 Tarry Glen Dr, Suwanee, GA 30024-7567 | 2020-04-06 |
| 1629604863 | Nkechinyelu Adaora Oraefo | Pharmacist | 4503 Fairecroft Ter, Suwanee, GA 30024-4066 | 2020-03-19 |
| 1336787712 | Bahareh Kashani | Pharmacist | 3977 Station Way, Suwanee, GA 30024-8433 | 2019-12-16 |
| 1790332591 | Mohammad Amin Arad | Pharmacist | 1550 Gallant Fox Ln, Suwanee, GA 30024-1505 | 2019-08-26 |
| 1215582788 | Macey Walker | Pharmacist | 255 Satellite Blvd Ne Ste 300, Suwanee, GA 30024-7127 | 2019-08-01 |
| 1578037800 | Tanika A Lawrence | Pharmacist | 4340 Red Rock Pt, Suwanee, GA 30024-4080 | 2019-01-21 |
| 1932613189 | Earl Ward | Pharmacist | 7895 Georgetown Cir, Suwanee, GA 30024-6622 | 2017-11-27 |
| 1144743840 | Nabil Elkareh | Pharmacist | 5049 Tarry Glen Drive., Suwanee, GA 30024 | 2017-07-25 |
| 1629599022 | Mahesh C Patel | Pharmacist | 1020 Gallatin Way, Suwanee, GA 30024-1237 | 2017-07-06 |
| 1134575541 | Hyun Kim | Pharmacist | 828 Sable Xing, Suwanee, GA 30024-3862 | 2016-05-05 |
| Find all providers in SUWANEE | ||||
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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.