RYAN ALEXANDER SLACK


Address: 5341 Highway 20 S, Covington, GA 30016-4409
Phone: 7707884008

RYAN ALEXANDER SLACK (NPI# 1790318129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790318129
Entity Type Individual
Full Name RYAN ALEXANDER SLACK
Practice Address 5341 Highway 20 S
Covington
GA 30016-4409
Practice Telephone 7707884008
Mailing Telephone 7707884008
Enumeration Date 2020-02-13
Last Update Date 2020-02-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 183500000X Pharmacist RPH031522 GA Pharmacy Service Providers
Y 183500000X Pharmacist 031522 GA Pharmacy Service Providers

Other Providers RYAN SLACK

NPI Name Taxonomy Address Enumeration
1821608316 Ryan Slack Technician, Other 795 Folsom St, San Francisco, CA 94107-1243 2020-08-09

Office Location

Street Address 5341 HIGHWAY 20 S
City COVINGTON
State GA
Zip Code 30016-4409

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457385296 The Kroger Co Durable Medical Equipment & Medical Supplies 5341 Highway 20 S, Covington, GA 30016-4409 2006-07-10
1871191353 Paige Trammell Pharmacist 5341 Highway 20 S, Covington, GA 30016-4409 2020-10-15
1245864214 Mahlon Lynn Davidson Pharmacist 5341 Highway 20 S, Covington, GA 30016-4409 2020-02-27
1811527773 Jessica Phillips Pharmacist 5341 Highway 20 S, Covington, GA 30016-4409 2020-01-20

Providers in the same zip code

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 Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City COVINGTON
Zip Code 30016

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Dataset Information

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.

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