MRS. ELIZABETH JETER THOMPSON (NPI# 1568670933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568670933 |
| Entity Type | Individual |
| Full Name | MRS. ELIZABETH JETER THOMPSON |
| Credential | R. PH. |
| Practice Address |
5711 Altama Ave Unit J Brunswick GA 31525-2240 |
| Mailing Address |
127 Hampton Point Dr St Simons Island GA 31522-5446 |
| Practice Telephone | 9122642622 |
| Mailing Telephone | 9126348716 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 017014 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295348852 | Elizabeth Thompson | Counselor | 4100 Spring Valley Rd Ste 520, Dallas, TX 75244-3629 | 2020-08-24 |
| 1306478177 | Elizabeth Thompson | Licensed Vocational Nurse | 456 Price Rd, Victoria, TX 77905-2522 | 2020-02-10 |
| 1841766029 | Elizabeth Thompson | Licensed Vocational Nurse | 2412 Cliff Teen Ct, Dallas, TX 75233-1512 | 2018-10-16 |
| 1881104156 | Elizabeth Townsend Thompson | Developmental Therapist | 86 Willow Way, Chapel Hill, NC 27516-9469 | 2017-10-02 |
| 1417491176 | Elizabeth Thompson | Physician Assistant | 859 Collicello St, Harrisonburg, VA 22802-2514 | 2016-12-14 |
| 1548704562 | Elizabeth Thompson | Non-emergency Medical Transport (VAN) | 130 E Saint Charles St, San Andreas, CA 95249 | 2016-12-09 |
| 1699141275 | Elizabeth Thompson | Physical Therapy Assistant | 815 Church St Sw, Hutchinson, MN 55350-3003 | 2015-08-18 |
| 1306128657 | Elizabeth Claire Thompson | Dietitian, Registered | Department of The Army Headquarters, Quality Management Division (credentials), Unit #15281, Apo, AP 96205-5281 | 2011-09-13 |
| 1700037728 | Elizabeth Ann Thompson | Registered Nurse | 490 Manor Hill Ln, Mattituck, NY 11952-2468 | 2008-10-08 |
| 1134345598 | Elizabeth D Thompson | Speech-Language Pathologist | 3259 Hwy. 157, Judsonia, AR 72081 | 2007-04-17 |
| Street Address |
5711 ALTAMA AVE UNIT J |
| City | BRUNSWICK |
| State | GA |
| Zip Code | 31525-2240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336165547 | Southeastern Pharmacy LLC | Pharmacy | 5711 Altama Ave, Unit G, Brunswick, GA 31525-2240 | 2006-07-14 |
| 1598892788 | Gary Brandon Bailey Jr. | Pharmacist | 5711 Altama Ave, Suite J, Brunswick, GA 31525-2240 | 2007-02-27 |
| 1790844462 | Lon Wallda Lewis | Pharmacist | 5711 Altama Ave, Suite J, Brunswick, GA 31525-2240 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063905990 | Jonathon Wesley Capps | Physician Assistant | 1111 Glynco Pkwy Bldg 1, Ste 10, Brunswick, GA 31525 | 2018-06-14 |
| 1366993628 | Hands Down Muscle Restoration, Inc | Homeopath | 1212 Chapel Crossing Road, Brunswick, GA 31525 | 2016-10-20 |
| 1619424173 | Jebediah S Christy Dds - Brunswick Pllc | Dentist | 11455 Canal Crossing, Brunswick, GA 31525 | 2016-09-01 |
| 1831545508 | Heller Family Medicine, LLC | General Practice | 208 Scranton Connector Ste 120, Brunswick, GA 31525 | 2016-05-11 |
| 1437525391 | Natisha Danielle Hill | Occupational Therapy Assistant | 138 Wingefield Commons Drive, Brunswick, GA 31525 | 2015-08-14 |
| 1811269632 | Solar Family Practice | Family Medicine | 122 Scranton Connector, Suite 112, Brunswick, GA 31525 | 2012-02-09 |
| 1700187895 | Chetan Patel | Pharmacist | 12 Woodfall Ct, Brunswick, GA 31525 | 2010-11-05 |
| 1194914275 | Dialysis of Golden Isles, LLC | Clinic/Center | 475 Gateway Center Blvd, Brunswick, GA 31525 | 2007-10-15 |
| 1902939325 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 Frazier Street, Brunswick, GA 31525 | 2007-03-14 |
| 1609909498 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 115 Frazier Road, Brunswick, GA 31525 | 2007-03-13 |
| Find all providers in zip 31525 | ||||
| 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 |
|---|---|---|---|---|
| 1376919886 | Wilber Mitchell Pleasants | Pharmacist | 5169 Brunswick Road, Box 305, Brunswick, TN 38014-0305 | 2015-08-19 |
| 1770972127 | Sapan Haribhakti | Pharmacist | 736 Jeanette Street, Brunswick, OH 44212 | 2015-01-22 |
| 1609279215 | Michael J Fiori | Pharmacist | 5 Locust Ln, Brunswick, ME 04011-3462 | 2014-09-27 |
| 1588916704 | Ashok Kohli | Pharmacist | 200 Glynn Isle Parkway, Mike Kohli, Brunswick, GA 31525-2929 | 2012-10-11 |
| 1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
| 1417215856 | Jimmy Mack Boatright | Pharmacist | 1600 Perry Lane Rd, Brunswick, GA 31525-9739 | 2012-04-23 |
| 1700163821 | Wendy Dawson | Pharmacist | 219 Edge Water Dr, Brunswick, GA 31525-6873 | 2011-11-03 |
| 1730488602 | Donald A Dietrich | Pharmacist | 3871 Center Rd, Brunswick, OH 44212-3058 | 2011-03-17 |
| 1114226230 | Donald Alan Cody | Pharmacist | 3487 Cypress Mill Rd, Brunswick, GA 31520-2857 | 2011-03-16 |
| 1700187895 | Chetan Patel | Pharmacist | 12 Woodfall Ct, Brunswick, GA 31525 | 2010-11-05 |
| Find all providers in BRUNSWICK | ||||
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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.