CHARLES GUERRERO (NPI# 1962001016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962001016 |
| Entity Type | Individual |
| Full Name | CHARLES GUERRERO |
| Credential | RPH |
| Practice Address |
3139 Highway 278 Ne Covington GA 30014-2301 |
| Mailing Address |
10 Cohutta Dr Covington GA 30014-7906 |
| Practice Telephone | 7707874041 |
| Practice Fax Number | 7707878325 |
| Mailing Telephone | 7708539540 |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH019194 | GA | Pharmacy Service Providers |
| Street Address |
3139 HIGHWAY 278 NE |
| City | COVINGTON |
| State | GA |
| Zip Code | 30014-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689608408 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 3139 Highway 278 Ne, Covington, GA 30014-2301 | 2006-07-10 |
| 1679172712 | Mark Joseph Faulkner | Pharmacist | 3139 Highway 278 Ne, Covington, GA 30014-2301 | 2020-10-20 |
| 1891326997 | Autumn Aldridge | Pharmacist | 3139 Highway 278 Ne, Covington, GA 30014-2301 | 2020-01-28 |
| 1508496936 | Heidi Howard | Pharmacist | 3139 Highway 278 Ne, Covington, GA 30014-2301 | 2020-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495635 | Cathy Cassandra Collins | Pharmacist | 3639 Hwy 278, Covington, GA 30014 | 2020-10-22 |
| 1154933877 | Atl Optical LLC | Optometrist | 3135 Highway 278 Ne, Covington, GA 30014 | 2020-08-24 |
| 1932737046 | Samagas House Org | Adult Companion | 1500 Mountain View Cirlcle, Conyers, GA 30014 | 2020-04-01 |
| 1356834360 | Covington Dental Care | Dentist | 4139 Baker Street, Suite 15, Covington, GA 30014 | 2018-06-13 |
| 1487190005 | New Avenues Assessment and Counseling Center LLC | Counselor | 3192 Spring Street, Covington, NEWTON 30014 | 2017-01-07 |
| 1275903973 | Jennifer Carol Bridges | Registered Nurse | 320 Malcom Lane, Covington, GA 30014 | 2015-10-07 |
| 1134598501 | Shelby Boggus King | Physician Assistant | 4181 Hospital Drive Ne, Suite 204, Covington, GA 30014 | 2015-09-16 |
| 1366829814 | Wendy Pazdur | Counselor | 5109 Hwy 278 East, Suite D, Covington, GA 30014 | 2015-05-05 |
| 1306235445 | Covington Center for Family Dentistry | Dentist | 10373 Industrial Blvd, Covington, GA 30014 | 2015-01-13 |
| 1992103428 | Modern Cosmetic Dental Care, LLC | Clinic/Center | 1750 Highway 11, Suite B, Covington, GA 30014 | 2014-12-16 |
| Find all providers in zip 30014 | ||||
| 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 |
|---|---|---|---|---|
| 1164021366 | Tyler Vanway | Pharmacist | 1525 Madison Ave, Covington, KY 41011-3315 | 2020-10-20 |
| 1679172712 | Mark Joseph Faulkner | Pharmacist | 3139 Highway 278 Ne, Covington, GA 30014-2301 | 2020-10-20 |
| 1871191353 | Paige Trammell | Pharmacist | 5341 Highway 20 S, Covington, GA 30016-4409 | 2020-10-15 |
| 1548868292 | Musau Kithome | Pharmacist | 3700 Salem Rd, Covington, GA 30016-4527 | 2020-10-14 |
| 1245864214 | Mahlon Lynn Davidson | Pharmacist | 5341 Highway 20 S, Covington, GA 30016-4409 | 2020-02-27 |
| 1003447087 | Tanika Hood | Pharmacist | 3700 Salem Rd, Covington, GA 30016-4527 | 2020-01-29 |
| 1891326997 | Autumn Aldridge | Pharmacist | 3139 Highway 278 Ne, Covington, GA 30014-2301 | 2020-01-28 |
| 1508496936 | Heidi Howard | Pharmacist | 3139 Highway 278 Ne, Covington, GA 30014-2301 | 2020-01-24 |
| 1811527773 | Jessica Phillips | Pharmacist | 5341 Highway 20 S, Covington, GA 30016-4409 | 2020-01-20 |
| 1922646900 | Stanley Craig Elliott | Pharmacist | 951 Highway 51 N, Covington, TN 38019-1702 | 2019-12-20 |
| Find all providers in COVINGTON | ||||
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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.