MR. ROBERT WILTON FLETCHER III (NPI# 1720368368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720368368 |
Entity Type | Individual |
Full Name | MR. ROBERT WILTON FLETCHER III |
Practice Address |
5963 Spout Springs Rd Flowery Branch GA 30542-3452 |
Practice Telephone | 7709652371 |
Practice Fax Number | 7709657330 |
Mailing Telephone | 7709652371 |
Mailing Fax Number | 7709657330 |
Enumeration Date | 2011-08-26 |
Last Update Date | 2011-08-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | RPH020845 | GA | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295875912 | Robert Lee Fletcher IIi | Dentist | 1951 J L Todd Dr, Rome, GA 30161-5015 | 2007-02-08 |
1487735361 | Robert Rowland Fletcher II | Dentist | 402 Red Oak St., Summersville, WV 26651 | 2006-10-18 |
1134184443 | Robert Fletcher | Family Medicine | 4100 Wake Forest Rd, Raleigh, NC 27609-6227 | 2006-04-19 |
1265090419 | Robert Fletcher | Perfusionist | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2019-06-03 |
1578878559 | Robert Edwin Fletcher | Dentist | 17655 Henderson Pass, Apt 1431, San Antonio, TX 78232 | 2010-08-13 |
1952443756 | Robert F Fletcher | Counselor | 3322 Broadway, Everett, WA 98201-4425 | 2007-02-12 |
1316903305 | Robert Lyle Fletcher | Physician Assistant | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2006-04-26 |
1417929241 | Robert Corman Fletcher | Ophthalmology | 1010 Carondelet Dr, Suite 340, Kansas City, MO 64114-4859 | 2006-02-06 |
Street Address |
5963 SPOUT SPRINGS RD |
City | FLOWERY BRANCH |
State | GA |
Zip Code | 30542-3452 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952534455 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 5963 Spout Springs Rd, Flowery Branch, GA 30542-3452 | 2009-08-31 |
1770866147 | Michael George Manos | Pharmacist | 5963 Spout Springs Rd, Flowery Branch, GA 30542-3452 | 2011-09-22 |
1053692913 | Marina Petrenko | Pharmacist | 5963 Spout Springs Rd, Flowery Branch, GA 30542-3452 | 2011-09-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558974709 | Medlife Healthcare | Clinic/Center | 2129 Friendship Rd, Flowery Branch, GA 30542 | 2020-08-27 |
1437673431 | Ronnie Weeks Lcsw LLC | Social Worker | 4825 Oliver Road, Flowery Branch, GA 30542 | 2017-08-01 |
1801342183 | Hema Sundar | Dentist | 4028 Winder Highway, Edmonton, GA 30542 | 2016-08-28 |
1316397037 | Georgia Dental Professionals, PC | Dentist | 4030 Winder Highway, Flowery Branch, GA 30542 | 2016-06-14 |
1285067793 | Home Care Matters | Home Health | 5505 Church St, Suite 240, Flowery Branch, GA 30542 | 2013-08-20 |
1093957052 | Janelle Elizabeth Luczka | Social Worker | 4331 Thurmond Tanner Pkwy, Flowery Branch, GA 30542 | 2009-04-06 |
1073764791 | Guillermina Osoria | Driver | 1707 Tree Park Cir, Flowery Branch, GA 30542 | 2008-10-01 |
1083888531 | Ingles Markets Inc | Pharmacy | 4260 Winder Hwy, Flowery Branch, GA 30542 | 2008-04-16 |
1679793038 | Sonea Maria Russell | Physical Therapy Assistant | Willowood Nursing Center, 4595 Cantrell Road, Flowery Branch, GA 30542 | 2007-04-26 |
1134345895 | Ray Charles Davis | Psychiatry & Neurology | 4331 Thurmond Tanner Parkway, Flowery Branc, GA 30542 | 2007-04-18 |
Find all providers in zip 30542 |
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 |
---|---|---|---|---|
1841707577 | Khela Dean | Pharmacist | 5157 Old Oaks Ct, Flowery Branch, GA 30542-5279 | 2018-01-03 |
1770911851 | Yang-yi Lin | Pharmacist | 6962 Spout Springs Rd, Flowery Branch, GA 30542-5534 | 2013-10-28 |
1033239751 | Keith Bardes | Pharmacist | 6370 Flat Rock Dr, Flowery Branch, GA 30542-5052 | 2007-03-29 |
1639298607 | Ralph Clayton Alley | Pharmacist | 5915 Spout Springs Rd, Flowery Branch, GA 30542-4005 | 2007-03-28 |
1548330590 | Rebecca Braselton | Pharmacist | 4251 Winder Hwy Ste H, Flowery Branch, GA 30542-4623 | 2006-11-08 |
1619056702 | William Sammy Brown | Pharmacist | 5325 Atlanta Highway, Flowery Branch, GA 30542-0004 | 2006-11-02 |
1558969188 | Christiane Wilson | Pharmacist | 7380 Spout Springs Rd, Flowery Branch, GA 30542-7541 | 2020-10-15 |
1922627504 | Joseph Dylan Moak | Pharmacist | 5325 Atlanta Hwy, Flowery Branch, GA 30542-3336 | 2020-04-13 |
1154862076 | James Kercher | Pharmacist | 4260 Winder Hwy, Flowery Branch, GA 30542-3603 | 2017-03-10 |
1396281333 | Christiana Diplotti | Pharmacist | 4260 Winder Hwy, Flowery Branch, GA 30542-3603 | 2017-01-15 |
Find all providers in FLOWERY BRANCH |
City | FLOWERY BRANCH |
Zip Code | 30542 |
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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.