BENJAMIN LAKE STANLEY (NPI# 1770807935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770807935 |
| Entity Type | Individual |
| Full Name | BENJAMIN LAKE STANLEY |
| Credential | PHARM D. |
| Practice Address |
240 Milledgeville Hwy Gordon GA 31031-3827 |
| Mailing Address |
240 Milledgeville Hwy P.o. Box 249 Gordon GA 31031-3827 |
| Practice Telephone | 4786282481 |
| Practice Fax Number | 4786282263 |
| Mailing Telephone | 4786282481 |
| Mailing Fax Number | 4786282263 |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2010-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 20457 | NC | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 025078 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396256715 | Benjamin Stanley | Audiologist | 260 N Little Tor Rd, New City, NY 10956-2627 | 2017-10-12 |
| 1619300357 | Benjamin Stanley | Counselor | 2199 Harrison St, Batesville, AR 72501-7416 | 2013-08-16 |
| Street Address |
240 MILLEDGEVILLE HWY |
| City | GORDON |
| State | GA |
| Zip Code | 31031-3827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366468522 | Carla Stanley Sappe | Pharmacist | 240 Milledgeville Hwy, Gordon, GA 31031-3827 | 2006-07-14 |
| 1669796827 | Jill Varner Stanley | Pharmacist | 240 Milledgeville Hwy, Gordon, GA 31031-3827 | 2010-03-17 |
| 1730101353 | Carl Lake Stanley Jr. | Pharmacist | 240 Milledgeville Hwy, Gordon, GA 31031-3827 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184718942 | Gordon Drugs, Inc. | Durable Medical Equipment & Medical Supplies | 240 Milledgeville Road, Gordon, GA 31031 | 2006-10-03 |
| 1568529139 | Wilkinson Service Center | Day Training, Developmentally Disabled Services | 113 Solomon St, Gordon, GA 31031-0069 | 2007-01-03 |
| 1720133960 | Dennis R. Smith Dds, Inc. | Dentist | 106 College Street, 106 College Street, Gordon, GA 31031-0326 | 2007-01-25 |
| 1124173356 | Dennis Rayvon Smith | Dentist | 106 College Street, Gordon, GA 31031-0326 | 2007-01-25 |
| 1699872911 | Cyler Duggan Garner | Legal Medicine | 200 Pine St, Gordon, GA 31031-0357 | 2006-09-20 |
| 1750644902 | Lisa Marie Mcintyre | Counselor | 198 Union Hill Church Rd, Gordon, GA 31031-2134 | 2012-06-22 |
| 1487281572 | Jamia A Reese | Speech-Language Pathologist | 136 Burney Rd, Gordon, GA 31031-2501 | 2020-03-26 |
| 1043842073 | Jerry Reese Jr. | Specialist/Technologist | 218 Elam St, Gordon, GA 31031-2502 | 2020-02-07 |
| 1174819619 | Prn Nursing and Alternative Living Family Care Solutions | Assisted Living Facility | 115 Lakeshore Dr S, Ivey, GA 31031-3537 | 2011-06-23 |
| 1861763195 | Falcon Crest Manor, LLC | Assisted Living Facility | 111 Epps St, Gordon, GA 31031-3805 | 2012-01-18 |
| Find all providers in zip 31031 | ||||
| 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 |
|---|---|---|---|---|
| 1366468522 | Carla Stanley Sappe | Pharmacist | 240 Milledgeville Hwy, Gordon, GA 31031-3827 | 2006-07-14 |
| 1669796827 | Jill Varner Stanley | Pharmacist | 240 Milledgeville Hwy, Gordon, GA 31031-3827 | 2010-03-17 |
| 1730101353 | Carl Lake Stanley Jr. | Pharmacist | 240 Milledgeville Hwy, Gordon, GA 31031-3827 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538103 | Agatha Nonye Okoye | Pharmacist | 5300 Bridle Point Pkwy, Snellville, GA 30039-2715 | 2020-11-05 |
| 1861093155 | Mohamed J Bah | Pharmacist | 2965 Olivine Dr, Dacula, GA 30019-7646 | 2020-11-04 |
| 1841891249 | Himanshu Haridutt Desai | Pharmacist | 30983 Us-441 S, Commerce, GA 30529 | 2020-11-03 |
| 1720689219 | Olubunmi Adeniyi | Pharmacist | 524 Serene Waters Trl, Jonesboro, GA 30236-5495 | 2020-11-03 |
| 1174124572 | Jessica Rodriguez New | Pharmacist | 2892 Browns Bridge Road, Gainesville, GA 30504 | 2020-11-03 |
| 1063013613 | John Ellis Iv | Pharmacist | 135 Rudders Xing, Newnan, GA 30263-7032 | 2020-11-02 |
| 1992306591 | Connie Deverell Tam | Pharmacist | Walmart Pharmacy #1658, 2205 Harrison Rd, Thomson, GA 30824 | 2020-11-02 |
| 1922608520 | Sylvia Adams | Pharmacist | 1173 W Briar Gate Ct, Riverdale, GA 30296-3378 | 2020-11-01 |
| 1417557000 | Birtukan Tsegaye | Pharmacist | 2715 Henderson Rd, Tucker, GA 30084-2432 | 2020-10-31 |
| 1528668175 | Vishwa Patel | Pharmacist | 3604 Bellhaven Dr, Valdosta, GA 31605-1210 | 2020-10-31 |
| 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.