DR. MELISSA JEAN HERNDON (NPI# 1811527203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811527203 |
| Entity Type | Individual |
| Full Name | DR. MELISSA JEAN HERNDON |
| Credential | PHARMD |
| Practice Address |
110 E 13th Ave Ste A Cordele GA 31015-4245 |
| Practice Telephone | 2292564033 |
| Practice Fax Number | 2292760147 |
| Mailing Telephone | 2292564033 |
| Mailing Fax Number | 2292760147 |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2020-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH025472 | GA | Pharmacy Service Providers |
| Street Address |
110 E 13TH AVE STE A |
| City | CORDELE |
| State | GA |
| Zip Code | 31015-4245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861058042 | Ccn America Lp | Pharmacy | 110 E 13th Ave Ste A, Cordele, GA 31015-4245 | 2019-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618164 | Jeffrey Allen Wessel Jr. | Physical Therapist | 1107b Greer Street, Cordele, GA 31015 | 2020-08-03 |
| 1316502024 | Clifton Anthony Jordan | Specialist | 1106 East Ave Suite J, Cordele, GA 31015 | 2019-05-08 |
| 1336678440 | Robert Kenneth Lancaster | Dentist | 604 E 15th Avenue, Cordele, GA 31015 | 2017-06-12 |
| 1457602435 | Marvin Tolbert Mcafee IIi | Physician Assistant | 416 East 4th Ave, Suite B, Cordele, GA 31015 | 2012-10-01 |
| 1568719169 | Kimberly Bertelson | Physical Therapy Assistant | 1107 Greer Street, Suite B, Cordele, GA 31015 | 2012-08-14 |
| 1134474174 | R W Leitner Od LLC | Optometrist | 716-c 16th Ave East, Cordele, GA 31015 | 2012-07-16 |
| 1790048023 | Holly K Davis | Nurse Practitioner | 602 E 16th Ave Ste B, Cordele, GA 31015 | 2012-06-21 |
| 1508141482 | Beatrice Hurt Mckee | Nurse Practitioner | 216 Hospital Drive., Cordele, GA 31015 | 2011-10-11 |
| 1669784393 | Elisabeth R Waldrip | Dentist | 115 E 14th Avenue, Cordele, GA 31015 | 2010-07-10 |
| 1063656403 | Priscilla George Thomas | Surgery | 416 E 4th Ave # A, Cordele, GA 31015 | 2009-04-29 |
| Find all providers in zip 31015 | ||||
| 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 |
|---|---|---|---|---|
| 1033320270 | Russell Rogers Adams | Pharmacist | 408 E 16th Ave Ste B, Cordele, GA 31015-1699 | 2007-05-26 |
| 1699837013 | Laura Jenkins Williams | Pharmacist | 716 E 16th Ave Ste I, Cordele, GA 31015-4517 | 2006-12-14 |
| 1346318599 | Carl Guy Young | Pharmacist | 242 Floyd Rd, Cordele, GA 31015-6751 | 2006-12-04 |
| 1073113676 | Julie Obenauer | Pharmacist | 1215 E 16th Ave, Cordele, GA 31015-4585 | 2020-11-01 |
| 1386244747 | Christian Wohlfeld | Pharmacist | 1215 E 16th Ave, Cordele, GA 31015-4585 | 2020-10-27 |
| 1093353682 | Andrew James Pless Jr. | Pharmacist | 1011 E 16th Ave, Cordele, GA 31015-1539 | 2019-12-15 |
| 1720649957 | Jonathan Sinyard | Pharmacist | 408 E 16th Ave Ste B, Cordele, GA 31015-1699 | 2019-06-27 |
| 1881250959 | Davon Lynn Bailey | Pharmacist | 1011 E 16th Ave, Cordele, GA 31015-1539 | 2019-05-14 |
| 1114209327 | Thomas Eugene Mcswain | Pharmacist | 1024 E 16th Ave, Cordele, GA 31015-1538 | 2011-09-13 |
| 1902186547 | Susan Patel | Pharmacist | 1024 E 16th Ave, Cordele, GA 31015-1538 | 2011-08-26 |
| Find all providers in CORDELE | ||||
Please comment or provide details below to improve the information on DR. MELISSA JEAN HERNDON.
| 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.