MUSAU KITHOME (NPI# 1548868292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548868292 |
| Entity Type | Individual |
| Full Name | MUSAU KITHOME |
| Practice Address |
3700 Salem Rd Covington GA 30016-4527 |
| Practice Telephone | 6783426050 |
| Mailing Telephone | 6783426050 |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
028209 | GA | Pharmacy Service Providers |
| Street Address |
3700 SALEM RD |
| City | COVINGTON |
| State | GA |
| Zip Code | 30016-4527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952592990 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 3700 Salem Rd, Covington, GA 30016-4527 | 2007-08-06 |
| 1003447087 | Tanika Hood | Pharmacist | 3700 Salem Rd, Covington, GA 30016-4527 | 2020-01-29 |
| 1679881130 | Carl Ivester Robertson | Pharmacist | 3700 Salem Rd, Covington, GA 30016-4527 | 2010-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013565605 | Katrina Williams | Case Manager/Care Coordinator | 220 Meadowidge Dr, Covington, GA 30016 | 2019-08-28 |
| 1407322134 | Mali Rice | Registered Nurse | 105 Syracuse Lane, Covington, GA 30016 | 2018-10-20 |
| 1619452927 | Angelina Jones | Contractor | 290 Piedmont Circle, Covington, GA 30016 | 2018-10-02 |
| 1881116721 | Springhill Manor Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 600 Spring Hill Drive, Covington, GA 30016 | 2017-07-12 |
| 1922538529 | Tisha Owes | Home Health | 110 Trinity Dr, Covington, GA 30016 | 2017-06-15 |
| 1053868695 | Delhia Assanah IIi | Counselor | 101 Kirkland Road, Covington, GA 30016 | 2016-09-01 |
| 1760834295 | Resurgens East Surgery Center, LLC | Clinic/Center | 3241 Iris Dr, Suite 100, Covington, GA 30016 | 2016-07-08 |
| 1528443371 | Latoya N Wright | Counselor | 100 Winnstead Place, Covington, GA 30016 | 2015-07-22 |
| 1598157307 | Sierra Private Homecare, Inc. | Adult Companion | 75 Cinnamon Oak Circle, Covington, GA 30016 | 2015-03-03 |
| 1326391079 | Lana Abiola Fraser | Nurse's Aide | 840 Oakhill Road, Covington, GA 30016 | 2012-10-18 |
| Find all providers in zip 30016 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164021366 | Tyler Vanway | Pharmacist | 1525 Madison Ave, Covington, KY 41011-3315 | 2020-10-20 |
| 1962001016 | Charles Guerrero | Pharmacist | 3139 Highway 278 Ne, Covington, GA 30014-2301 | 2020-10-20 |
| 1679172712 | Mark Joseph Faulkner | Pharmacist | 3139 Highway 278 Ne, Covington, GA 30014-2301 | 2020-10-20 |
| 1871191353 | Paige Trammell | Pharmacist | 5341 Highway 20 S, Covington, GA 30016-4409 | 2020-10-15 |
| 1245864214 | Mahlon Lynn Davidson | Pharmacist | 5341 Highway 20 S, Covington, GA 30016-4409 | 2020-02-27 |
| 1003447087 | Tanika Hood | Pharmacist | 3700 Salem Rd, Covington, GA 30016-4527 | 2020-01-29 |
| 1891326997 | Autumn Aldridge | Pharmacist | 3139 Highway 278 Ne, Covington, GA 30014-2301 | 2020-01-28 |
| 1508496936 | Heidi Howard | Pharmacist | 3139 Highway 278 Ne, Covington, GA 30014-2301 | 2020-01-24 |
| 1811527773 | Jessica Phillips | Pharmacist | 5341 Highway 20 S, Covington, GA 30016-4409 | 2020-01-20 |
| 1922646900 | Stanley Craig Elliott | Pharmacist | 951 Highway 51 N, Covington, TN 38019-1702 | 2019-12-20 |
| Find all providers in COVINGTON | ||||
Please comment or provide details below to improve the information on MUSAU KITHOME.
| 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.