KHADIJA CALDWELL (NPI# 1851764948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851764948 |
| Entity Type | Individual |
| Full Name | KHADIJA CALDWELL |
| Practice Address |
1620 Ross Clark Cir Dothan AL 36301-5439 |
| Mailing Address |
309 Ridgeway Dr Enterprise AL 36330-1636 |
| Practice Telephone | 3348034359 |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2015-11-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
17245 | AL | Pharmacy Service Providers |
| Street Address |
1620 ROSS CLARK CIR |
| City | DOTHAN |
| State | AL |
| Zip Code | 36301-5439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831405729 | Publix Alabama LLC | Pharmacy | 1620 Ross Clark Cir, Dothan, AL 36301-5439 | 2010-08-30 |
| 1871047225 | Kenneth Horn | Pharmacist | 1620 Ross Clark Cir, Dothan, AL 36301-5439 | 2016-08-14 |
| 1548676018 | Megan Champion | Pharmacist | 1620 Ross Clark Cir, Dothan, AL 36301-5439 | 2014-07-06 |
| 1073941894 | Courtney Jenne | Pharmacist | 1620 Ross Clark Cir, Dothan, AL 36301-5439 | 2013-10-15 |
| 1881931731 | Claud Khater | Pharmacist | 1620 Ross Clark Cir, Dothan, AL 36301-5439 | 2013-01-12 |
| 1023355187 | Joseph Shane Bell | Pharmacist | 1620 Ross Clark Cir, Dothan, AL 36301-5439 | 2013-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043862931 | Pharmacy Center South LLC | Pharmacy | 2826 Ross Clark Circle, Suite 103, Dothan, AL 36301 | 2019-07-11 |
| 1851879167 | Attallah Cotton | Social Worker | 101 Eastridge Dr, Dothan, AL 36301 | 2018-07-31 |
| 1225522709 | Nichole Johnson Prestwood | Nurse Practitioner | 2431 W Main St Ste 501, Dothan, AL 36301 | 2018-06-19 |
| 1750805818 | Kimberly Danielle Austin | Speech-Language Pathologist | 404 Darlington Cir, Dothan, AL 36301 | 2017-07-31 |
| 1952794885 | Lori P. Granberry | Pharmacist | 2131 Ross Clark Circle, Dothan, AL 36301 | 2015-03-17 |
| 1801286059 | Robert Cody Russell | Nurse Practitioner | 1118 Ross Clark Circle, Suite 100, Dothan, AL 36301 | 2015-01-27 |
| 1720407646 | Michael Kreger | Anesthesiology | 1118 Ross Clark Cir Ste 700, Dothan, AL 36301 | 2014-04-08 |
| 1063851277 | Carlos Stanford Clark II | Family Medicine | 201 Doctors Drive, Dothan, AL 36301 | 2013-06-20 |
| 1639489313 | Robert Fort Hambaugh Jr. | Specialist | 712 Woodland Drive, Dothan, AL 36301 | 2010-10-15 |
| 1588894976 | Atwill Lamar Miller Jr. | Urology | 1908 Fairview Avenue, Dothan, AL 36301 | 2009-07-20 |
| Find all providers in zip 36301 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619592243 | Julie Wilbeck Stephens | Pharmacist | 704 Harding Way Se, Huntsville, AL 35802-1962 | 2020-06-09 |
| 1780221531 | Lauren Hickman Curnutt | Pharmacist | 413 Rosewood St, Irondale, AL 35210-3118 | 2019-11-27 |
| 1497258784 | Cullman County Treatment Center | Pharmacist | 1912 Commerce Ave, Cullman, AL 35055-6150 | 2018-03-13 |
| 1407373020 | Lillian Mcbride Osborn | Pharmacist | 806 Lee Road 8, Auburn, AL 36832-8358 | 2017-08-24 |
| 1780118091 | Shane Humphries | Pharmacist | 166 County Road 3915, Arley, AL 35541-2174 | 2017-04-13 |
| 1205372232 | Affinity Mtm | Pharmacist | 501 Riverchase Pkwy E, Suite 201, Hoover, AL 35244-1808 | 2017-01-14 |
| 1336596758 | Laura Rebekah Findley | Pharmacist | 7700 Hargrove Rd E, Cottondale, AL 35453-3810 | 2016-05-16 |
| 1356734347 | Margaret Ann Henderson | Pharmacist | 10 Crenshaw St, Mobile, AL 36606-1909 | 2015-03-15 |
| 1235548819 | Derrick Bradley | Pharmacist | 505 Bel Air Blvd, Apt: #121, Mobile, AL 36606-3586 | 2014-08-07 |
| 1871907568 | Spencer Holaway Durham | Pharmacist | 615 Perry Hill Road, Montgomery, AL 36109 | 2014-06-20 |
| 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.