DR. DONNA A TAVAKKOLI (NPI# 1528350741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528350741 |
| Entity Type | Individual |
| Full Name | DR. DONNA A TAVAKKOLI |
| Credential | PHARMD |
| Practice Address |
1811 Matthews Township Pkwy Matthews NC 28105-4659 |
| Mailing Address |
210 N Church St # 1609 Charlotte NC 28202-2256 |
| Practice Telephone | 7048446822 |
| Mailing Telephone | 9547015895 |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2011-05-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 19046 | NC | Pharmacy Service Providers |
| Street Address |
1811 MATTHEWS TOWNSHIP PKWY |
| City | MATTHEWS |
| State | NC |
| Zip Code | 28105-4659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598723926 | Joan Mcdonald | Nurse Practitioner | 1811 Matthews Township Pkwy, Matthews, NC 28105-4659 | 2006-05-03 |
| 1235515479 | Justin Crump | Pharmacist | 1811 Matthews Township Pkwy, Matthews, NC 28105-4659 | 2015-08-10 |
| 1164808697 | Crystal Yu | Pharmacist | 1811 Matthews Township Pkwy, Matthews, NC 28105-4659 | 2015-08-06 |
| 1386936409 | Paige Nivens | Pharmacist | 1811 Matthews Township Pkwy, Matthews, NC 28105-4659 | 2011-05-08 |
| 1447448345 | Carolinas Physicians Network Inc. | Clinic/Center | 1811 Matthews Township Pkwy, Matthews, NC 28105-4659 | 2007-10-05 |
| 1700980117 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 1811 Matthews Township Pkwy, Matthews, NC 28105-4659 | 2006-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750917407 | Lauren Deasy Blackshaw | Counselor | 1163 Sam Newell Rd, Matthews, NC 28105 | 2020-03-13 |
| 1912549643 | Monarch | Community/Behavioral Health | 10545 Paces Avenue 634, Matthews, NC 28105 | 2019-10-15 |
| 1326515768 | Holly Harvey Heddleson | Nurse Practitioner | 1450 Matthews Township Pkwy Ste 280, Matthews, NC 28105 | 2018-10-24 |
| 1396241030 | Erickson Health Medical Group of North Carolina, PC | Internal Medicine | 2030 Windsor Run Lane, Matthews, NC 28105 | 2018-04-02 |
| 1811406994 | Lice Clinics of America of The Carolinas | Technician, Other | 3042 Suite C Senna Dr, Matthews, NC 28105 | 2017-09-21 |
| 1376065003 | Carillon Assisted Living of Mint Hill, LLC | Custodial Care Facility | 5601 Margaret Wallace Road, Matthews, NC 28105 | 2017-07-14 |
| 1568906055 | London Young | Physical Therapy Assistant | 11100- 11189 Berkley Square Ln, Charlotte, NC 28105 | 2016-12-19 |
| 1003363128 | New Beginnings Community Counseling Center | Community/Behavioral Health | 5232 Maragaret Wallace Road, Matthews, NC 28105 | 2016-09-07 |
| 1275993149 | Kristi Dougan | Nurse Practitioner | 434 N Trade St Ste 104, Matthews, NC 28105 | 2016-03-04 |
| 1205219896 | Kalyani Vellanki Starr | Dentist | 1819 Matthews Township Pkwy Ste 200, Matthews, NC 28105 | 2015-07-01 |
| Find all providers in zip 28105 | ||||
| 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 |
|---|---|---|---|---|
| 1508336207 | Austin Wise | Pharmacist | 2925 Senna Dr Ste 100, Matthews, NC 28105-0512 | 2018-11-26 |
| 1073069274 | Amie Freeman | Pharmacist | 6300 Weddington-monroe Rd, Matthews, NC 28104 | 2016-08-28 |
| 1780018606 | Susan Garwood | Pharmacist | 3110 Fincher Farm Rd, Matthews, NC 28105-5462 | 2013-08-27 |
| 1861741944 | Evan Kaskie | Pharmacist | 1305 Matthews Township Parkway, Matthews, NC 28105 | 2012-09-05 |
| 1902153562 | Daniel Ryan Graves | Pharmacist | 6300 Weddington-monroe Road, Matthews, NC 28104 | 2012-08-13 |
| 1811243710 | Alex Brittain | Pharmacist | 15080 Idlewild Rd, Matthews, NC 28104-3600 | 2012-07-28 |
| 1891072468 | Kifle G Merid | Pharmacist | 2325 Nettleton Ct, Matthews, NC 28105-3214 | 2011-11-10 |
| 1861788739 | Fotene Kaltsounis | Pharmacist | 5920 Weddington Monroe Road, Matthews, NC 28104-8200 | 2011-06-20 |
| 1831482157 | Anh Hong Mai Nguyen Chewning | Pharmacist | 6300 Monroe Weddington Road, Matthews, NC 28104 | 2011-05-19 |
| 1285926089 | Shyni Sarah Jacob Abraham | Pharmacist | 5920 Weddington Monroe Rd, Matthews, NC 28104-8200 | 2011-05-11 |
| Find all providers in MATTHEWS | ||||
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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.