SOPHAKHONTERRY SON (NPI# 1811433857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811433857 |
| Entity Type | Individual |
| Full Name | SOPHAKHONTERRY SON |
| Practice Address |
1817 Dallas Nebo Rd Douglasville GA 30134-4865 |
| Practice Telephone | 6783838715 |
| Practice Fax Number | 6783838716 |
| Mailing Telephone | 6783838715 |
| Mailing Fax Number | 6783838716 |
| Enumeration Date | 2017-01-14 |
| Last Update Date | 2017-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH026800 | GA | Pharmacy Service Providers |
| Street Address |
1817 DALLAS NEBO RD |
| City | DOUGLASVILLE |
| State | GA |
| Zip Code | 30134-4865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326585068 | Paul Kiarie Muchene I | Pharmacist | 1817 Dallas Nebo Rd, Douglasville, GA 30134-4865 | 2017-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851915631 | Lilian Pereira | Nurse Practitioner | Bethesda Medical Group, LLC, 9280 Hwy 5 - Suite D, Douglasville, GA 30134 | 2020-06-08 |
| 1548822901 | Sweet Resolve LLC | Nurse Practitioner | 4318 Ridge Rd, Ste 111 Pmb 1017, Douglasville, GA 30134 | 2019-07-05 |
| 1598328791 | Straight Street Life Center Inc | Case Manager/Care Coordinator | 12461 Veterans Memorial, Douglasville, GA 30134 | 2019-04-15 |
| 1174014930 | Caitlin Waldrip | Chiropractor | 8326a Office Park Dr., Douglasville, GA 30134 | 2018-05-28 |
| 1861901050 | Michelle Denise Winston | Licensed Practical Nurse | 6497 E Strickland, Douglasville, GA 30134 | 2017-09-20 |
| 1518335843 | Willis Anthony Rogers | Durable Medical Equipment & Medical Supplies | 7094 Rose Lake Circle, Douglasville, GA 30134 | 2015-09-03 |
| 1497135131 | Patricia Warren | Social Worker | 8317 Office Park Drive Ste.#e, Douglasville, GA 30134 | 2015-06-08 |
| 1457747321 | Kidz Rock Therapy Services, LLC | Occupational Therapist | 6732 West Spring Street, Douglasville, GA 30134 | 2015-04-08 |
| 1386068476 | Naa Y Oden | Psychologist | 4813 Ridge Rd Ste 111-639, Douglasville, GA 30134 | 2014-02-10 |
| 1467893271 | American Ems | Ambulance | 7240 Bankhead Hwy, Douglasville, GA 30134 | 2013-07-09 |
| Find all providers in zip 30134 | ||||
| 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 |
|---|---|---|---|---|
| 1063988236 | Arnold Ricardo Taylor | Pharmacist | 6853 Douglas Blvd Ste A, Douglasville, GA 30135-7178 | 2018-10-15 |
| 1578012647 | Felicia Roberts | Pharmacist | 2304 Flowerdale Ct, Douglasville, GA 30135-7909 | 2016-09-29 |
| 1346644747 | James Rains | Pharmacist | 6643 Church St, Douglasville, GA 30134-1715 | 2014-10-14 |
| 1124365820 | Lisa Bryan Yancey | Pharmacist | 4300 Chapel Hill Rd., Douglasville, GA 30135 | 2013-01-15 |
| 1386917771 | H G Pharma, Inc | Pharmacist | 8480 Hospital Dr, Douglasville, GA 30134-2411 | 2012-02-15 |
| 1720361231 | Cherice Doyley | Pharmacist | 5841 Sarazen Trl, Douglasville, GA 30135-7641 | 2011-09-21 |
| 1508148891 | Kaci Boulware Kenon | Pharmacist | 3851 Chapel Hill Road, Douglasville, GA 30135 | 2011-09-13 |
| 1124309661 | Longinus Okwuchukwu Okpala | Pharmacist | 2384 Manal Way, 2384 Manal Manal Way, Douglasville, GA 30135-8170 | 2011-08-29 |
| 1841579380 | Tara Michele Britton | Pharmacist | 2025 Chapel Hill Rd., T1172, Douglasville, GA 30135 | 2011-08-16 |
| 1558660894 | Bharat M. Vibhakar | Pharmacist | 2710 Highway 92, Douglasville, GA 30135-5106 | 2011-03-25 |
| Find all providers in DOUGLASVILLE | ||||
| City | DOUGLASVILLE |
| Zip Code | 30134 |
Please comment or provide details below to improve the information on SOPHAKHONTERRY SON.
| 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.