ERIC GOLDSTEIN (NPI# 1578837605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578837605 |
| Entity Type | Individual |
| Full Name | ERIC GOLDSTEIN |
| Credential | RPH |
| Practice Address |
4797 S Main St Acworth GA 30101-5339 |
| Practice Telephone | 7709743131 |
| Practice Fax Number | 7709759735 |
| Mailing Telephone | 7709743131 |
| Mailing Fax Number | 7709759735 |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2012-03-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 025473 | GA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 30019170A | 05 | |
| GA | 00030357A | 05 | |
| GA | NCPDP PROVIDER IDENTIFICATION NUMBER | 1104152 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568608842 | Eric M Goldstein | Pharmacist | 66 Ford Road, Suite 230, Denville, NJ 07834 | 2008-12-17 |
| 1992204226 | Eric Goldstein | Orthopaedic Surgery | 727 Welsh Rd, Huntingdon Valley, PA 19006-6310 | 2018-02-01 |
| 1366829210 | Eric Goldstein | Psychiatry & Neurology | 175 North Medical Drive East, Salt Lake City, UT 84132-0001 | 2015-04-29 |
| 1023263050 | Eric Harris Goldstein | Physical Therapist | 165 Grandview Ave, Monsey, NY 10952-1418 | 2008-11-18 |
| 1154488633 | Eric Goldstein | Psychologist | 5975 Sunset Dr, Suite 803, Miami, FL 33143-5174 | 2007-01-03 |
| 1376617753 | Eric Simon Goldstein | Internal Medicine | 1974 1st Ave, New York, NY 10029-6430 | 2006-11-20 |
| 1447336656 | Eric Goldstein | Pediatrics | 371 Merrick Rd, Suite 100, Rockville Centre, NY 11570-5359 | 2006-10-31 |
| Street Address |
4797 S MAIN ST |
| City | ACWORTH |
| State | GA |
| Zip Code | 30101-5339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164434999 | Bennie C. Flanagan | Pharmacist | 4797 S Main St, Acworth, GA 30101-5339 | 2006-08-12 |
| 1427193465 | Meryl Lynn Cook | Pharmacist | 4797 S Main St, Acworth, GA 30101-5339 | 2007-02-20 |
| 1245372309 | Susan Rosemary Korey | Pharmacist | 4797 S Main St, Acworth, GA 30101-5339 | 2007-02-13 |
| 1831273747 | Lacey Drug Company, Inc | Durable Medical Equipment & Medical Supplies | 4797 S Main St, Acworth, GA 30101-5339 | 2006-10-25 |
| 1487754099 | Larry L. Braden | Pharmacist | 4797 S Main St, Acworth, GA 30101-5339 | 2006-09-24 |
| 1548364292 | Lacey Drug Company Inc | Durable Medical Equipment & Medical Supplies | 4797 S Main St, Acworth, GA 30101-5339 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952931552 | A3j Incorporated | Registered Nurse | 3905 Cobb Pkwy Nw Ste 305, Acworth, GA 30101 | 2020-01-22 |
| 1043869852 | Sharron Leigh Lipscomb | Acupuncturist | 3661 Cedarcrest Rd Ste 320, Acworth, GA 30101 | 2019-09-05 |
| 1699322933 | Cowry Home Dialysis LLC | Durable Medical Equipment & Medical Supplies | 4450 Calibre Crossings Nw, Suite # 1122, Acworth, GA 30101 | 2019-08-21 |
| 1760979595 | Sandra Jeanetta Pugh | Counselor | 118 Clubhouse Crossing, Acworth, GA 30101 | 2018-04-17 |
| 1679926950 | Cindy Hatfield Fruits | Psychologist | 4839 N. Main Street, Acworth, GA 30101 | 2016-07-21 |
| 1396192563 | Philip Young | Specialist/Technologist | 4841 Lake Park Lane, Acworth, GA 30101 | 2016-05-18 |
| 1770960619 | Karen Fuller | Marriage & Family Therapist | 2487 Cedarcrest Rd Ste 722, Acworth, GA 30101 | 2015-04-29 |
| 1366830333 | Willard Hogan IIi | Physician Assistant | 1720 Mars Hill Rd Nw Ste 8-175, Acworth, GA 30101 | 2014-12-29 |
| 1386042083 | Sebastian Diaz Fischer | Chiropractor | 2639 Hickory Grove Rd, Suit 150, Ackworth, GA 30101 | 2014-12-11 |
| 1841699337 | J Chappell Md PC | Dermatology | 4450 Calibre Crossings, Suite 1208, Acworth, GA 30101 | 2014-08-20 |
| Find all providers in zip 30101 | ||||
| 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 |
|---|---|---|---|---|
| 1225406374 | Michael Richard Mckinney | Pharmacist | 3513 Baker Rd Nw, Suite 500, Acworth, GA 30101-3706 | 2015-09-07 |
| 1023485257 | Marian Vanamore' | Pharmacist | 4595 Highway 92, Acworth, GA 30102-2233 | 2015-08-24 |
| 1528306677 | Nancy L Hatcher | Pharmacist | 6100 Cedarcrest Rd Nw, Acworth, GA 30101-9539 | 2013-01-24 |
| 1972840825 | Adewale A Esho | Pharmacist | 3507 Baker Rd Nw, Suite 300, Acworth, GA 30101-3706 | 2013-01-12 |
| 1669741112 | Chinyere Stella Nwegbo | Pharmacist | 4621 Waters Edge Ln Nw, Acworth, GA 30101-6238 | 2011-12-28 |
| 1932483039 | Denise Rochelle Charmaine Breure | Pharmacist | 4051 E Spring Meadow Dr, Acworth, GA 30101-7237 | 2011-10-06 |
| 1245514603 | Sylvia Rebecca Wright | Pharmacist | 3118 Delacorte Dr, Acworth, GA 30101-1403 | 2011-10-04 |
| 1033408737 | N Chris Nwankwo | Pharmacist | 1775 Mars Hill Rd Nw, Acworth, GA 30101-4555 | 2011-04-04 |
| 1386933968 | Donald L. Cox | Pharmacist | 5247 Centennial Hill Dr Nw, Acworth, GA 30102-8509 | 2011-04-04 |
| 1679871503 | Xuyen Kim Le | Pharmacist | 3245 Cobb Pkwy Nw, Acworth, GA 30101-3938 | 2011-03-01 |
| Find all providers in ACWORTH | ||||
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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.