DIANE M PROFFITT (NPI# 1609029578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609029578 |
| Entity Type | Individual |
| Full Name | DIANE M PROFFITT |
| Credential | RPH |
| Practice Address |
10930 Crabapple Rd Suite 7 Roswell GA 30075-5813 |
| Practice Telephone | 7709924111 |
| Practice Fax Number | 7709930329 |
| Mailing Telephone | 7709924111 |
| Mailing Fax Number | 7709930329 |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2008-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | PS20683 | FL | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 14031 | GA | Pharmacy Service Providers |
| Street Address |
10930 CRABAPPLE RD SUITE 7 |
| City | ROSWELL |
| State | GA |
| Zip Code | 30075-5813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285629253 | Cedrick Christopher Noel | Chiropractor | 10930 Crabapple Rd, Roswell, GA 30075-5812 | 2005-09-15 |
| 1891170015 | Tyler William Kisling | Dentist | 10930 Crabapple Rd, Suite 106, Roswell, GA 30075-5813 | 2015-07-29 |
| 1467844274 | Unique Wigs & Beauty Supply, Inc. | Prosthetic/Orthotic Supplier | 10930 Crabapple Rd, Suite 23, Roswell, GA 30075-5813 | 2015-03-03 |
| 1629400403 | Amanda Lee Kossick | Dentist | 10930 Crabapple Rd, Suite 140, Roswell, GA 30075-5813 | 2013-08-05 |
| 1831342708 | Johnny P Barker | Pharmacist | 10930 Crabapple Rd, Suite 7, Roswell, GA 30075-5813 | 2008-10-23 |
| 1558513648 | Theresa Anne Barnes | Physical Therapist | 10930 Crabapple Rd, Suite 16, Roswell, GA 30075-5813 | 2008-10-21 |
| 1376702498 | Wender & Roberts Assisted Living | Pharmacy | 10930 Crabapple Rd, Suite 7 B, Roswell, GA 30075-5813 | 2008-06-04 |
| 1235342296 | James Burnard Gray | Dentist | 10930 Crabapple Rd, Suite 240, Roswell, GA 30075-5813 | 2007-05-07 |
| 1295896645 | Wender & Roberts, Inc | Pharmacy | 10930 Crabapple Rd, Suite 7, Roswell, GA 30075-5813 | 2006-12-12 |
| 1407885064 | Jeffrey Demercy | Dentist | 10930 Crabapple Rd, Suite 140, Roswell, GA 30075-5813 | 2006-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889539 | William Shelton Green | Specialist/Technologist | 1055 Riceland Ct, Roswell, GA 30075 | 2018-04-27 |
| 1043712524 | Lena Claire Morison | Music Therapist | 12060 Etris Rd. #200, Roswell, GA 30075 | 2018-03-01 |
| 1790232031 | Christina Danielle Dicioccio | Physician Assistant | 11040 Crabapple Rd # Suiea, Roswell, GA 30075 | 2016-09-02 |
| 1720531767 | Arbor Cove Therapy LLC | Social Worker | 981 Canton St, Suite 200-e, Roswell, GA 30075 | 2016-07-26 |
| 1740640887 | Christina C Plaice | Counselor | 10882 Crabapple Road, Suite 2, Roswell, GA 30075 | 2016-03-02 |
| 1215316435 | Jlm X-ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1015 Canton Street, Roswell, GA 30075 | 2015-05-20 |
| 1174953624 | Ellen Terrell | Occupational Therapist | 10050 Crabapple Road, Suite D-115a, Roswell, GA 30075 | 2013-11-20 |
| 1114269974 | Patricia E Hernandez | Nurse Practitioner | 10479 Alpharetta St Ste 18, Roswell, GA 30075 | 2013-03-20 |
| 1750623658 | The George Center Foundation | Music Therapist | 1206 Etris Rd., Suite 200, Roswell, GA 30075 | 2013-03-19 |
| 1407187735 | Rachael Anne Templeton | Chiropractor | 593 Atlanta Street, Gorman Chiropractic, Roswell, GA 30075 | 2010-01-27 |
| Find all providers in zip 30075 | ||||
| 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 |
|---|---|---|---|---|
| 1932738697 | Laurie D Renshaw | Pharmacist | 410 Hamilton Park Dr, Roswell, GA 30075-5581 | 2020-04-05 |
| 1538728803 | Alan Ryan | Pharmacist | 570 Trotters Rdg, Roswell, GA 30075-2882 | 2019-06-11 |
| 1821560780 | Kyle Scherich | Pharmacist | 4500 N Main St Ste A, Roswell, NM 88201-0305 | 2018-12-17 |
| 1518487206 | Cherini Ghobrial | Pharmacist | 11910 Stradford Wood, Roswell, GA 30076-1191 | 2017-06-22 |
| 1265838262 | James C. Shumans | Pharmacist | 495 Spring Ridge Dr, Roswell, GA 30076-2680 | 2014-11-18 |
| 1538564745 | Lacey Scott | Pharmacist | 1835 N. Main, Roswell, NM 88201 | 2014-10-30 |
| 1821335878 | Christopher Chu | Pharmacist | 1425 Market Blvd, Roswell, GA 30076-6708 | 2013-01-10 |
| 1972876233 | Devyani Kambaliya | Pharmacist | 975 Riceland Ct, Roswell, GA 30075-7805 | 2012-02-17 |
| 1316224959 | Karen J Cook | Pharmacist | 4321 Lake Chimney Ct Ne, Roswell, GA 30075-3138 | 2011-11-10 |
| 1184909400 | Mervat Nabil Halim | Pharmacist | 10790 Alpharetta Hwy, Roswell, GA 30076-1425 | 2011-10-18 |
| Find all providers in ROSWELL | ||||
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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.