CARL IVESTER ROBERTSON (NPI# 1679881130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679881130 |
| Entity Type | Individual |
| Full Name | CARL IVESTER ROBERTSON |
| Credential | RPH |
| Practice Address |
3700 Salem Rd Covington GA 30016-4527 |
| Mailing Address |
3700 Salem Road Covington GA 30016 |
| Practice Telephone | 6483426050 |
| Mailing Telephone | 6783426050 |
| Enumeration Date | 2010-09-18 |
| Last Update Date | 2013-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 013870 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659341782 | Carl D Robertson | Optometrist | 415 Us Highway 95a S, Suite 101, Fernley, NV 89408-9007 | 2006-01-23 |
| 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 |
| 1548868292 | Musau Kithome | Pharmacist | 3700 Salem Rd, Covington, GA 30016-4527 | 2020-10-14 |
| 1003447087 | Tanika Hood | Pharmacist | 3700 Salem Rd, Covington, GA 30016-4527 | 2020-01-29 |
| 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 | 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 |
|---|---|---|---|---|
| 1801495635 | Cathy Cassandra Collins | Pharmacist | 3639 Hwy 278, Covington, GA 30014 | 2020-10-22 |
| 1538778089 | Lily Phan | Pharmacist | 17920 Se 257th St, Covington, WA 98042-8382 | 2020-07-29 |
| 1528547759 | Franklin Owen Keeney | Pharmacist | 313 W. Thacker Rd, Covington, VA 24426 | 2018-08-08 |
| 1013434018 | Anh Thi Phuong Tran | Pharmacist | 437 Saddlebrook Ct, Covington, LA 70435-0530 | 2017-08-29 |
| 1154707842 | Ashlee L Poolson | Pharmacist | 73626 La-25, Covington, LA 70435 | 2015-08-04 |
| 1740682632 | Shirley Watkins | Pharmacist | 4270 Gauntt Rd, Covington, GA 30014-0600 | 2014-09-23 |
| 1154722395 | Kendall Schwab | Pharmacist | 69320 Louisiana 21, Covington, LA 70433 | 2014-09-08 |
| 1821497363 | James Edward Faidley Jr. | Pharmacist | 203 Sammys Rd, Covington, VA 24426-6004 | 2014-08-20 |
| 1861891863 | Elizabeth Fuselier | Pharmacist | 727 Double J Rd, Covington, LA 70433-6353 | 2014-08-15 |
| 1497163380 | Ashley Michelle Nini Wilson | Pharmacist | 1203 U.S.190 Business, Covington, LA 70433 | 2014-07-24 |
| Find all providers in COVINGTON | ||||
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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.