MELINDA KEZER DRYLIE (NPI# 1609491281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609491281 |
Entity Type | Individual |
Full Name | MELINDA KEZER DRYLIE |
Credential | PHARMD |
Practice Address |
1 Freedom Way Augusta GA 30904-6258 |
Mailing Address |
2899 Country Club Hills Dr North Augusta SC 29860-9771 |
Practice Telephone | 7067330188 |
Mailing Telephone | 7067992005 |
Enumeration Date | 2020-06-10 |
Last Update Date | 2020-06-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH026021 | GA | Pharmacy Service Providers |
Street Address |
1 FREEDOM WAY |
City | AUGUSTA |
State | GA |
Zip Code | 30904-6258 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912900713 | Robert Leon Longe | Pharmacist | 1 Freedom Way, Augusta, GA 30904-6258 | 2005-05-24 |
1609476951 | Melissa Ann Cotton | Dentist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-27 |
1487253217 | Kelsey Shull | Recreation Therapist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-22 |
1437758844 | Angela Marie Brown | Social Worker | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-19 |
1538767819 | Stephen William Montgomery | Music Therapist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-09 |
1134726631 | Rebecca Leigh Halioua | Recreation Therapist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-07 |
1104435718 | Vincent Michael Fitch | Psychologist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-07-29 |
1558988162 | Amanda Draheim | Psychologist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-06-30 |
1174140784 | Tiffany Ariel Graves | Student in an Organized Health Care Education/Training Program | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-06-30 |
1982221776 | Janice J Anglin | Dietitian, Registered | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-06-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
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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 |
---|---|---|---|---|
1316276033 | Susan Christine Fagan | Pharmacist | Hm 1220 1120 15th Street, University of Georgia College of Pharmacy, Augusta, GA 30912 | 2009-12-08 |
1669009619 | Dalton Nuse | Pharmacist | 1510 Ohio St, Augusta, KS 67010-2189 | 2020-03-26 |
1740787472 | Katherine Donnan | Pharmacist | 1 Freedom Way, Augusta, GA 30904-6258 | 2018-04-09 |
1396244034 | Reid Wallace Griffin | Pharmacist | 1537 Walton Way, Augusta, GA 30904-3764 | 2018-02-08 |
1619499910 | Chantheara Long | Pharmacist | 1 Va Ctr, Augusta, ME 04330-6719 | 2017-07-09 |
1457726663 | Sudharsan Periyasamy Thandavan | Pharmacist | 2744 Washington Rd, Augusta, GA 30909-2218 | 2015-12-14 |
1902274921 | Anishka Walker | Pharmacist | 950 15th St, Charlie Norwood Vamc - Pharmacy Department, Augusta, GA 30901-2608 | 2015-09-08 |
1073992020 | Kathleen Cleary | Pharmacist | 1 Va Ctr, Augusta, ME 04330-6719 | 2015-05-22 |
1477946531 | Amber Ladak | Pharmacist | 1120 15th St, Augusta, GA 30912-0004 | 2015-03-13 |
1699165548 | Tim Robinson | Pharmacist | 1120 15th St, Bi-2101, Augusta, GA 30912-0004 | 2015-01-30 |
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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.