CARLA L BONNER (NPI# 1922062124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922062124 |
| Entity Type | Individual |
| Full Name | CARLA L BONNER |
| Credential | PHARM.D. |
| Practice Address |
405 Carlton Rd Palmetto GA 30268-1052 |
| Mailing Address |
8590 Hearn Rd Palmetto GA 30268-2339 |
| Practice Telephone | 7704634031 |
| Practice Fax Number | 7704634946 |
| Mailing Telephone | 7704630313 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 019578 | GA | Pharmacy Service Providers |
| Street Address |
405 CARLTON RD |
| City | PALMETTO |
| State | GA |
| Zip Code | 30268-1052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073577342 | Jolyn Langford Garcia | Pharmacist | 405 Carlton Rd, Palmetto, GA 30268-1052 | 2006-04-13 |
| 1114543543 | Atlanta Pharmacy Group, Inc. | Pharmacy | 405 Carlton Rd, Palmetto, GA 30268-1052 | 2020-06-22 |
| 1881150175 | Atlanta Pharmacy Group, Inc. | Pharmacy | 405 Carlton Rd, Palmetto, GA 30268-1052 | 2019-02-12 |
| 1225474950 | Jason Chapman Jones | Pharmacist | 405 Carlton Rd, Palmetto, GA 30268-1052 | 2013-05-21 |
| 1104134618 | Mortar and Pestle LLC | Pharmacy | 405 Carlton Rd, Palmetto, GA 30268-1052 | 2010-09-17 |
| 1720037955 | Southern Crescent Pharmacy Inc | Pharmacy | 405 Carlton Rd, Palmetto, GA 30268-1052 | 2006-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013521491 | Hla Ambulance LLC | Ambulance | 43 Amanda Ln, Palmetto, GA 30268 | 2020-09-03 |
| 1134779424 | Center for Positive Change LLC | Counselor | 11207 Serenbe Lane, Hills, GA 30268 | 2019-09-18 |
| 1336397868 | Key David Mcmurrain Jr. | Preventive Medicine | 10180 Capps Ferry Road, Palmetto, GA 30268 | 2008-09-09 |
| 1548333115 | Carolyn E Johnson | Registered Nurse | 507 Park Street, Palmetto, GA 30268 | 2006-11-15 |
| 1386710796 | Gary Lane Watts | Dentist | 501 Park St, Palmetto, GA 30268-1007 | 2006-11-28 |
| 1285707455 | Angela P. Shannon | Psychiatry & Neurology | 507 Park St, Palmetto, GA 30268-1007 | 2006-11-16 |
| 1952967234 | Palmetto Health Council, Inc. | Clinic/Center | 507 Park St, Palmetto, GA 30268-1007 | 2019-05-13 |
| 1447791835 | Lyzette Santiago Rodriguez | Counselor | 507 Park St, Palmetto, GA 30268-1007 | 2017-03-17 |
| 1841580560 | Palmetto Family Dental, PC | Dentist | 501 Park St, Palmetto, GA 30268-1007 | 2011-04-14 |
| 1861631053 | Jordan Albert Brunson | Dentist | 501 Park St, Palmetto, GA 30268-1007 | 2009-02-11 |
| Find all providers in zip 30268 | ||||
| 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 |
|---|---|---|---|---|
| 1568859965 | Nicole Schuyler | Pharmacist | 8209 18th Ave E, Palmetto, FL 34221-8810 | 2015-04-23 |
| 1841689411 | David Padron | Pharmacist | 3416 100th Ct E, Palmetto, FL 34221-8004 | 2015-01-20 |
| 1073577342 | Jolyn Langford Garcia | Pharmacist | 405 Carlton Rd, Palmetto, GA 30268-1052 | 2006-04-13 |
| 1306480520 | Tai Ngo | Pharmacist | 508 10th St E, Palmetto, FL 34221-4062 | 2019-10-30 |
| 1891208195 | Stephanie Nichole Sugarman | Pharmacist | 1101 8th Ave W, Palmetto, FL 34221-3809 | 2017-11-08 |
| 1164825014 | Camille Suarez | Pharmacist | 1101 8th Ave W, Palmetto, FL 34221-3809 | 2014-10-07 |
| 1225474950 | Jason Chapman Jones | Pharmacist | 405 Carlton Rd, Palmetto, GA 30268-1052 | 2013-05-21 |
| 1326386541 | Diana T Garcia | Pharmacist | 1101 8th Ave W, Palmetto, FL 34221-3809 | 2013-01-23 |
| 1801134481 | Jeffrey S Lee | Pharmacist | 1101 8th Ave W, Palmetto, FL 34221-3809 | 2013-01-16 |
| 1700160694 | Kimberly Evette Shannon | Pharmacist | 930 8th Ave W, Palmetto, FL 34221-4712 | 2011-10-10 |
| Find all providers in PALMETTO | ||||
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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.