MR. JERRY VANCE GRIMMITT (NPI# 1871668020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871668020 |
| Entity Type | Individual |
| Full Name | MR. JERRY VANCE GRIMMITT |
| Credential | RPH |
| Practice Address |
785 Chickamauga Av Longley Pharmacy Rossville GA 30741 |
| Mailing Address |
2196 Gourge Rd Henagar AL 35978 |
| Practice Telephone | 7068661220 |
| Practice Fax Number | 7068617505 |
| Mailing Telephone | 2566573462 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 9494 | AL | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 20271 | GA | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 507 | TN | Pharmacy Service Providers |
| Street Address |
785 CHICKAMAUGA AV LONGLEY PHARMACY |
| City | ROSSVILLE |
| State | GA |
| Zip Code | 30741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881084549 | Bi-lo Pharmacy | Pharmacy | 820 Misson Ridge Road, Rossville, GA 30741 | 2015-02-02 |
| 1013194943 | Kathleen Marie Powell | Physical Therapist | 1425 Mc Farland Ave, Rossville, GA 30741 | 2008-01-22 |
| 1831163898 | Jose R Justiniano-ayala | Family Medicine | 205 Jenkins Rd, Rossville, GA 30741 | 2006-02-15 |
| 1235389230 | Michael Robert Mccoy | Internal Medicine | 205 Jenkins Rd, Rossville, GA 30741 | 2008-09-25 |
| 1255512182 | Primary Health Care Center of Dade, Inc. | Clinic/Center | 205 Jenkins Rd, Rossville, GA 30741 | 2007-11-20 |
| 1962677633 | Lookout Mountain Community Service | Community/Behavioral Health | 405 Glenn Wade Dr, Rossville, GA 30741-1176 | 2008-04-24 |
| 1033142930 | Robert Alan Stultz | Physician Assistant | 118 Howard St, Rossville, GA 30741-1314 | 2006-07-07 |
| 1902950462 | Leisha Harrell Espy | Chiropractor | 100 E Gordon Ave, Rossville, GA 30741-1318 | 2007-01-22 |
| 1073687596 | Rocky Top Pharmacy Inc | Pharmacy | 785 Chickamauga Ave, Rossville, GA 30741-1404 | 2006-11-17 |
| 1578088977 | Daniel Garrett | Pharmacist | 785 Chickamauga Ave, Rossville, GA 30741-1404 | 2017-08-07 |
| Find all providers in zip 30741 | ||||
| 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 |
|---|---|---|---|---|
| 1578088977 | Daniel Garrett | Pharmacist | 785 Chickamauga Ave, Rossville, GA 30741-1404 | 2017-08-07 |
| 1114475092 | Jason Perine | Pharmacist | 430 N Main St, Rossville, KS 66533-9000 | 2016-09-20 |
| 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 | ||||
Please comment or provide details below to improve the information on MR. JERRY VANCE GRIMMITT.
| 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.