DR. CASSANDRA GORDON TANCIL (NPI# 1720069057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720069057 |
| Entity Type | Individual |
| Full Name | DR. CASSANDRA GORDON TANCIL |
| Credential | PHARM.D., BCPS |
| Practice Address |
2051 Eagle Ridge Dr Sw Conyers GA 30094-3379 |
| Practice Telephone | 6784131338 |
| Practice Fax Number | 6784139164 |
| Mailing Telephone | 6784131715 |
| Mailing Fax Number | 6784139164 |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
RPH019901 | GA | Pharmacy Service Providers |
| Street Address |
2051 EAGLE RIDGE DR SW |
| City | CONYERS |
| State | GA |
| Zip Code | 30094-3379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053306852 | Lucien Stephen Tancil | Pharmacist | 2051 Eagle Ridge Dr Sw, Conyers, GA 30094-3379 | 2005-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029054 | Darlene Fletcher | Counselor | 827 St. Clair Dr., Conyers, GA 30094 | 2020-10-05 |
| 1194363366 | Clara A Matthews | Physician Assistant | 1930 Windsor Creek Drive Sw, Conyers, GA 30094 | 2019-12-18 |
| 1659838571 | Sensitive Home Care Agency Inc. | PACE Provider Organization | 2225 Morning Dew, Conyers, GA 30094 | 2019-02-27 |
| 1679097992 | Sheira Dennis | Case Management | 3828 Martingale Dr Se, Conyers, GA 30094 | 2017-07-28 |
| 1730571399 | Wellness and Trauma Recovery Center | Counselor | 1775 Parker Rd. Building C, Suite 210, Conyers, GA 30094 | 2015-02-19 |
| 1760870612 | Michael Terrell | Technician/Technologist | 806 Cambridge Creek Dr, Conyers, GA 30094 | 2014-12-30 |
| 1538567466 | Jennifer Angela Johnson | Registered Nurse | 2240 Wren Rd Se, Conyers, GA 30094 | 2014-12-09 |
| 1225445208 | Wanda Marcella Rainey-reed | Counselor | 1453 Klondike Rd Sw Ste D, Conyers, GA 30094 | 2014-07-22 |
| 1508155268 | Nicklaus Trent Rice | Obstetrics & Gynecology | 2750 Owens Dr, Conyers, GA 30094 | 2011-04-04 |
| 1720219660 | Candace Alexander | Dentist | 863 Flat Shoals Rd Se, Suite C #220, Conyers, GA 30094 | 2009-07-27 |
| Find all providers in zip 30094 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871101741 | Nikesh Patel | Pharmacist | 114 Gentle Breeze Ct, Temple, GA 30179-5432 | 2020-07-16 |
| 1023460615 | Sy Le | Pharmacist | 891 Channel Dr, Lawrenceville, GA 30046-8480 | 2016-07-06 |
| 1619350287 | Erskine Cartwright IIi | Pharmacist | 1205 Hwy 88, Keysville, GA 30816 | 2015-07-01 |
| 1871907279 | Mohamed Nesredin Ahmedin | Pharmacist | 2718 Woodcrest Dr Apt H, Augusta, GA 30909-0431 | 2014-06-13 |
| 1710302153 | Elizabeth Estelle Corwell Miller | Pharmacist | 1900 Jacolyn Pl Ne, Atlanta, GA 30329-3316 | 2014-02-21 |
| 1669736286 | Bharti Singh | Pharmacist | 2100 Comer Ave, 1800 Building, Ambulatory Care Pharmacy, Columbus, GA 31904 | 2012-06-28 |
| 1730442005 | Laura Susan Cain | Pharmacist | 2030 40th St, Columbus, GA 31904-7308 | 2012-06-20 |
| 1427327964 | Thu H Nguyen IIi | Pharmacist | 2271 Norbury Dr Se, Smyrna, GA 30080-5205 | 2011-12-28 |
| 1972880979 | Leighcraft A Shakes | Pharmacist | 655 7th St Bldg 700a7878, Robins Afb, GA 31098 | 2011-11-04 |
| 1629365887 | Claude Emerson Hartsock | Pharmacist | 540 Brnach Drive, Pendergrass, GA 30567-3445 | 2011-07-07 |
| Find all providers with the same taxonomy | ||||
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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.