RAPHAEL TAIWO OGUNSUSI (NPI# 1881943793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881943793 |
| Entity Type | Individual |
| Full Name | RAPHAEL TAIWO OGUNSUSI |
| Credential | PHARMACIST |
| Practice Address |
2630 Wellington Way Se Conyers GA 30013-6413 |
| Practice Telephone | 6784789511 |
| Mailing Telephone | 6784789511 |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2012-09-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 13344 | GA | Pharmacy Service Providers |
| Street Address |
2630 WELLINGTON WAY SE |
| City | CONYERS |
| State | GA |
| Zip Code | 30013-6413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842295 | Fit Therapy, LLC | Physical Therapist | 2008 Eastview Parkway, Suite 150, Conyers, GA 30013 | 2020-05-12 |
| 1144854753 | Atl Optical LLC | Optometrist | 1285 Ga 138, Conyers, GA 30013 | 2020-02-24 |
| 1386201820 | Achundris P Taylor | Social Worker | Harvest Grove Lane, Conyers, GA 30013 | 2019-05-21 |
| 1588153381 | Curbside Medical Transporters | Ambulance | 2404 Brynlyn Woods Dr Ne, Conyers, GA 30013 | 2018-05-07 |
| 1184124877 | Nursing Companion, LLC | Homemaker | 1064 Duke Dr, Conyers, GA 30013 | 2018-02-19 |
| 1588163638 | Atlanta Plus Urgent Care | Clinic/Center | 2121 Salem Rd. Se, Conyers, GA 30013 | 2018-02-05 |
| 1043735244 | Niki Tanyell Davis | Licensed Practical Nurse | 1403 Windy Hill Court, Conyers, GA 30013 | 2017-08-08 |
| 1063941490 | Comprehensive Health and Rehab LLC | Clinic/Center | 2500 Riverton Drive, Conyers, GA 30013 | 2017-06-08 |
| 1306373188 | Graceol Corporation | Family Medicine | 1035 Honey Creek Rd, Conyers, GA 30013 | 2017-05-11 |
| 1881149268 | Jsa Dental Associates Conyers PC | Dentist | 1151 Nor Tec Dr, Suite B, Conyers, GA 30013 | 2016-08-16 |
| Find all providers in zip 30013 | ||||
| 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 |
|---|---|---|---|---|
| 1871107672 | Keyur Patel | Pharmacist | 405 Sigman Rd Nw, Conyers, GA 30012-3625 | 2020-08-31 |
| 1992252753 | Traci Hunter Bryan | Pharmacist | 1501 Milstead Ave Ne, Suite 110, Conyers, GA 30012 | 2016-09-08 |
| 1114335858 | Bradley Young | Pharmacist | 3531 Highway 20 Se Ste A, Conyers, GA 30013-2804 | 2014-07-25 |
| 1831436799 | Allison Bolton | Pharmacist | 2880 Highway 212 Sw, Conyers, GA 30094-3349 | 2013-01-12 |
| 1356630388 | Michael Joseph Varnado Jr. | Pharmacist | 3531a Highway 20 Se, Conyers, GA 30013-2879 | 2011-03-30 |
| 1326346693 | Henrietta Chibugo Obialo-nzerue | Pharmacist | 2240 Salem Rd Se, Conyers, GA 30013-1843 | 2011-03-10 |
| 1104061001 | Magdalen Shares | Pharmacist | 2863 Bridle Creek Dr Sw, Conyers, GA 30094-5695 | 2008-12-05 |
| 1962513739 | Tiffany Louise Floyd | Pharmacist | 840 Sugar Creek Way Se, Conyers, GA 30094-3814 | 2006-08-31 |
| 1578580049 | Larry W Hawley | Pharmacist | 2455 Salem Rd Se, Ingles Pharmacy #469, Conyers, GA 30013 | 2006-07-17 |
| 1053306852 | Lucien Stephen Tancil | Pharmacist | 2051 Eagle Ridge Dr Sw, Conyers, GA 30094-3379 | 2005-09-18 |
| Find all providers in CONYERS | ||||
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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.