MELISSA A BACH (NPI# 1962000844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962000844 |
| Entity Type | Individual |
| Full Name | MELISSA A BACH |
| Other Name | MELISSA A GORDON |
| Practice Address |
2295 Towne Lake Pkwy Woodstock GA 30189-5520 |
| Mailing Address |
375 Yonah Cir Woodstock GA 30189-7035 |
| Practice Telephone | 7705172088 |
| Mailing Telephone | 7703151498 |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
020016 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720072531 | Melissa L Bach | Nurse Practitioner | 1111 Lighthouse Lane, Goshen, IN 46526-3824 | 2005-09-07 |
| Street Address |
2295 TOWNE LAKE PKWY |
| City | WOODSTOCK |
| State | GA |
| Zip Code | 30189-5520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720012560 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 2295 Towne Lake Pkwy, Woodstock, GA 30189-5520 | 2006-07-10 |
| 1467050047 | Lauren Bolton | Pharmacist | 2295 Towne Lake Pkwy, Woodstock, GA 30189-5520 | 2020-10-15 |
| 1528666245 | Chandra Page | Pharmacist | 2295 Towne Lake Pkwy, Woodstock, GA 30189-5520 | 2020-10-14 |
| 1992303879 | Verner Terrell Keeling | Pharmacist | 2295 Towne Lake Pkwy, Woodstock, GA 30189-5520 | 2020-10-13 |
| 1083247696 | Anna Parker | Pharmacist | 2295 Towne Lake Pkwy, Woodstock, GA 30189-5520 | 2020-02-21 |
| 1164052460 | Jonathan Rivers | Pharmacist | 2295 Towne Lake Pkwy, Woodstock, GA 30189-5520 | 2020-01-25 |
| 1073966271 | Joseph Ronald Gross | Physical Therapist | 2295 Towne Lake Pkwy, Ste 148, Woodstock, GA 30189-5520 | 2016-07-22 |
| 1073966354 | Brittany Poist Kizzire | Physical Therapist | 2295 Towne Lake Pkwy, Ste 148, Woodstock, GA 30189-5520 | 2016-07-21 |
| 1942676747 | Ryan Lee Reid | Physical Therapist | 2295 Towne Lake Pkwy, Ste 148, Woodstock, GA 30189-5520 | 2015-08-15 |
| 1356720932 | Alexander Maxwell Stephens | Physical Therapist | 2295 Towne Lake Pkwy, Ste 148, Woodstock, GA 30189-5520 | 2015-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494356 | Susan Iruku | Pharmacist | 12050 Ga-92 #112, Woodstock, GA 30189 | 2020-10-15 |
| 1598267437 | Kelly Sierra | Nurse Practitioner | 100 Stoneforest Dr Ste 300, Woodstock, GA 30189 | 2018-03-07 |
| 1548770449 | Chandra Johnson | Nurse Practitioner | 295 Molly Lane Ste 150, Woodstock, GA 30189 | 2017-10-05 |
| 1083133912 | Amanda Bostock Sowisdral | Physician Assistant | 250 Parkbrooke Pl Ste 300, Woodstock, GA 30189 | 2017-09-12 |
| 1780101659 | Laura C Koch Woodstock LLC Dba Fountain View Dentistry | Dentist | 1816 Eagle Drive, Building 200-a, Woodstock, GA 30189 | 2017-08-23 |
| 1265954788 | Vicky Morton Bryan | Nurse Practitioner | 422 Sycamore Trail, Woodstock, GA 30189 | 2017-07-17 |
| 1063933588 | Marietta Eye Clinic, Pa | Optometrist | 2990 Eagle Dr Ste 110, Woodstock, GA 30189 | 2017-07-06 |
| 1275914749 | Nrup Tolat | Podiatrist | 100 Stoneforest Dr Ste 120, Woodstock, GA 30189 | 2015-06-10 |
| 1558781534 | Mary Jansson Carmon | Nurse Practitioner | 1000 Towne Lake Pkwy, Woodstock, GA 30189 | 2014-04-17 |
| 1518388941 | Afc Physicians of Georgia, PC | General Practice | 6440 Bells Ferry Rd, Woodstock, GA 30189 | 2014-01-03 |
| Find all providers in zip 30189 | ||||
| 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 |
|---|---|---|---|---|
| 1750675369 | Cynthia Wiginton Cloud | Pharmacist | 210 Jeffrey Dr, Woodstock, GA 30188-2322 | 2011-06-01 |
| 1467050047 | Lauren Bolton | Pharmacist | 2295 Towne Lake Pkwy, Woodstock, GA 30189-5520 | 2020-10-15 |
| 1528666245 | Chandra Page | Pharmacist | 2295 Towne Lake Pkwy, Woodstock, GA 30189-5520 | 2020-10-14 |
| 1275131070 | Maivel Samir Thomas | Pharmacist | 12050 Highway 92 Ste 112, Woodstock, GA 30188-4287 | 2020-10-14 |
| 1720612732 | Valerie Avant | Pharmacist | 12050 Highway 92 Ste 112, Woodstock, GA 30188-4287 | 2020-02-28 |
| 1083247696 | Anna Parker | Pharmacist | 2295 Towne Lake Pkwy, Woodstock, GA 30189-5520 | 2020-02-21 |
| 1528690955 | Lauren Nicole Bryant | Pharmacist | 5339 Old Highway 5, Woodstock, GA 30188-2431 | 2020-02-04 |
| 1164052460 | Jonathan Rivers | Pharmacist | 2295 Towne Lake Pkwy, Woodstock, GA 30189-5520 | 2020-01-25 |
| 1891121489 | Anthony Leung | Pharmacist | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2013-09-16 |
| 1316229321 | Sam Barone | Pharmacist | 305 S Eastwood Dr, Woodstock, IL 60098-4626 | 2011-09-15 |
| Find all providers in WOODSTOCK | ||||
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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.