PONDER PHARMACY INC (NPI# 1902950355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902950355 |
| Entity Type | Organization |
| Organization Name | PONDER PHARMACY INC |
| Other Organization Name | PONDER PHARMACY |
| Practice Address |
11997 S Main St Trenton GA 30752-2855 |
| Mailing Address |
Po Box 849 Trenton GA 30752-0849 |
| Practice Telephone | 7066578100 |
| Practice Fax Number | 7066577977 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2009-03-20 |
| Authorized Official Name | ERNIE PONDER (OWNER) |
| Authorized Official Telephone | 7066578100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHRE007684 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 1139890 | 01 | |
| GA | 576815 | 05 |
| Other Name | Type Code |
|---|---|
| PONDER PHARMACY | Doing Business As Name - Organization |
| Street Address |
11997 S MAIN ST |
| City | TRENTON |
| State | GA |
| Zip Code | 30752-2855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770126492 | Frederic Oehlschlaeger | Pharmacist | 5431 Ga-136, Trenton, GA 30752 | 2019-10-25 |
| 1649700212 | Lisa Michelle Stephans | Counselor | 12586 North Main Street, Trenton, GA 30752 | 2017-06-15 |
| 1881019305 | Crystal L Hancock | Nurse Practitioner | 12978 North Main Street, Trenton, GA 30752 | 2014-02-20 |
| 1548602758 | Freds Stores of Tennessee Inc. | Pharmacy | 11858 S Main St, Trenton, GA 30752 | 2013-07-29 |
| 1699021360 | Megan Hall Nunn | Pharmacist | 112 Crimson Drive, Trenton, GA 30752 | 2012-07-31 |
| 1881886398 | Complete Chiropractic Care, LLC | Chiropractor | 12551 North Main, Trenton, GA 30752 | 2007-08-17 |
| 1184783771 | Cindy Marie Simmons | Physician Assistant | 111 North Pine Street, Trenton, GA 30752 | 2006-12-08 |
| 1124190962 | Lookout Mountain Community Services | Community/Behavioral Health | 12580 North Main St., Trenton, GA 30752 | 2006-11-15 |
| 1386725893 | Dade County Board of Health | Public Health or Welfare | 71 Case Ave, Suite H100, Trenton, GA 30752 | 2006-10-18 |
| 1164435954 | Denis L Mcdonald | Optometrist | 5377 Hwy 136, Trenton, GA 30752 | 2006-08-14 |
| Find all providers in zip 30752 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003479577 | Aml Ibrahim Fawzy | Pharmacy | 2108 S Broad St, Trenton, NJ 08610-5502 | 2019-04-19 |
| 1891277711 | Glendale Village Pharmacy, LLC | Pharmacy | 334 S Broad St, Trenton, NJ 08608-2502 | 2018-09-06 |
| 1215447149 | Ridha Ahmed | Pharmacy | 635 S Clinton Ave Ste 400, Trenton, NJ 08611-1831 | 2017-10-05 |
| 1790140192 | Sg Health | Pharmacy | 503 S Olden Ave, Trenton, NJ 08629-2102 | 2015-12-29 |
| 1619385622 | Zoobeedu, Inc | Pharmacy | 359 Pennington Ave, Trenton, NJ 08618-3615 | 2014-07-23 |
| 1548602758 | Freds Stores of Tennessee Inc. | Pharmacy | 11858 S Main St, Trenton, GA 30752 | 2013-07-29 |
| 1609211689 | Kaplan Group LLC | Pharmacy | 828 N Olden Ave, Trenton, NJ 08638-4902 | 2013-05-06 |
| 1124348305 | Smash Medicine LLC | Pharmacy | 836 Martin Luther King Jr Blvd, Trenton, NJ 08638-4002 | 2010-06-10 |
| 1215163050 | Kaplan Group LLC | Pharmacy | 521 S Broad St, Trenton, NJ 08611-1819 | 2009-06-08 |
| 1962681858 | Saker Shoprites Inc | Pharmacy | 1225 Highway 33, Trenton, NJ 08690-2713 | 2007-10-29 |
| Find all providers in TRENTON | ||||
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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.