SUSANNAH C. DAUGHTRY (NPI# 1750303053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750303053 |
| Entity Type | Individual |
| Full Name | SUSANNAH C. DAUGHTRY |
| Practice Address |
408 Healthwest Dr Dothan AL 36303-2054 |
| Practice Telephone | 3344790541 |
| Practice Fax Number | 3344790586 |
| Mailing Telephone | 3344790541 |
| Mailing Fax Number | 3344790586 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2014-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 13130 | AL | Pharmacy Service Providers |
| Street Address |
408 HEALTHWEST DR |
| City | DOTHAN |
| State | AL |
| Zip Code | 36303-2054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669025854 | Chelesia Burkes-brown | Nurse Practitioner | 408 Healthwest Dr, Dothan, AL 36303 | 2019-07-17 |
| 1578921888 | Jenny Quevedo | Psychologist | 408 Healthwest Dr, Dothan, AL 36303-2054 | 2016-02-01 |
| 1295166346 | Dothan Behavioral Medicine Clinic PC | Pharmacy | 408 Healthwest Dr, Dothan, AL 36303-2054 | 2013-11-27 |
| 1538508643 | Angela Dawkins | Nurse Practitioner | 408 Healthwest Dr, Dothan, AL 36303-2054 | 2013-06-21 |
| 1780020602 | Holley Brock | Counselor | 408 Healthwest Dr, Dothan, AL 36303-2054 | 2013-05-18 |
| 1336277540 | Dothan Behavioral Medicine Clinic PC | Psychiatry & Neurology | 408 Healthwest Dr, Dothan, AL 36303-2054 | 2007-03-01 |
| 1154471548 | Nelson Handal | Psychiatry & Neurology | 408 Healthwest Dr, Dothan, AL 36303-2054 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194205740 | Emblom & Vaughn, D.m.d., PC | Dentist | 318 Healthwest Dr., Dothan, AL 36303 | 2018-08-14 |
| 1164887907 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 118 Obrannan Park Drive, Dothan, AL 36303 | 2015-12-21 |
| 1245634245 | Api Counseling, LLC | Community/Behavioral Health | 1583 Montgomery Highway, Dothan, AL 36303 | 2014-10-20 |
| 1467792382 | Bolanle Boladale Akinduro | Home Health | 107 Hidden Glen Way, Dothan, AL 36303 | 2013-03-01 |
| 1104162114 | Al Dental PC | Dentist | 3400 Montgomery Highway, Dothan, AL 36303 | 2012-12-19 |
| 1659661874 | Juanita Titrud Heersink | Internal Medicine | 210 Westside Drive, Dothan, AL 36303 | 2011-04-08 |
| 1790918548 | Brandi Bradshaw Reeves | Counselor | 100 Westside Dr., Dothan, AK 36303 | 2009-08-27 |
| 1396917589 | Brian Davis | Physical Therapist | 3763 Ross Clark Circle, Dothan, AL 36303 | 2008-03-27 |
| 1558544544 | Healthwest Dental Associates PC | Dentist | 502 Healthwest Drive, Dothan, AL 36303 | 2007-12-12 |
| 1770644775 | Christine Carroll Fain | Occupational Therapist | 3763 Ross Clark Cir Ste 1, Alacare Home Health, Dothan, AL 36303 | 2006-12-13 |
| Find all providers in zip 36303 | ||||
| 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 |
|---|---|---|---|---|
| 1215559265 | Heidi Ivey | Pharmacist | 1108 Ross Clark Cir Fl 4, Dothan, AL 36301-3022 | 2020-05-13 |
| 1881151199 | Blake Douglas Enfinger | Pharmacist | 1315 Stanford Rd, Dothan, AL 36305-1917 | 2019-02-22 |
| 1518331297 | Daniel Anthony Newton Jr. | Pharmacist | 4601 Montgomery Hwy Ste 300t1468, Dothan, AL 36303-1656 | 2015-11-18 |
| 1609244672 | Julie H Vu | Pharmacist | 4650 W Main St, Ste 700, Dothan, AL 36305-9419 | 2015-09-09 |
| 1659766202 | Tyler Dalton | Pharmacist | 107 Lockwynn Trce, Dothan, AL 36303-1407 | 2015-03-31 |
| 1952794885 | Lori P. Granberry | Pharmacist | 2131 Ross Clark Circle, Dothan, AL 36301 | 2015-03-17 |
| 1215274378 | Amelia Michelle Davis | Pharmacist | 3525 Ross Clark Cir Ste 100, Dothan, AL 36303-5935 | 2013-01-09 |
| 1740530799 | Brian Scott North | Pharmacist | 773 Johnny Murphy Rd, Dothan, AL 36301-9172 | 2012-09-18 |
| 1003172701 | Burton L Hill | Pharmacist | 4601 Montgomery Hwy, Dothan, AL 36303-1656 | 2012-04-06 |
| 1003186214 | Frances Juanita Krumnow | Pharmacist | 2140 E Main St, Dothan, AL 36301-3031 | 2012-01-04 |
| Find all providers in DOTHAN | ||||
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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.