DR. CARLTON WENDELL DURRENCE III (NPI# 1972097608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972097608 |
| Entity Type | Individual |
| Full Name | DR. CARLTON WENDELL DURRENCE III |
| Credential | PHARMD |
| Practice Address |
15214 Us Highway 301 Glennville GA 30427 |
| Mailing Address |
15214 Us Highway 301 Glennville GA 30427-8308 |
| Practice Telephone | 9126453224 |
| Enumeration Date | 2018-06-16 |
| Last Update Date | 2018-06-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH013805 | GA | Pharmacy Service Providers |
| Street Address |
15214 US HIGHWAY 301 |
| City | GLENNVILLE |
| State | GA |
| Zip Code | 30427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790145258 | Lisa Dasher Anderson | Nurse Practitioner | 1000b North Veterans Boulevard, Glennville, GA 30427 | 2016-02-26 |
| 1902203722 | Kimberly Cason | Radiologic Technologist | 3945 Hwy 301, Glennville, GA 30427 | 2014-11-21 |
| 1598901696 | Jana Lamb Bunch | Nurse Practitioner | 1000 B. North Veterans Blvd, Glennville, GA 30427 | 2008-12-20 |
| 1407979420 | Sutton Place | Assisted Living Facility | 306 West Mann Street, Glennville, GA 30427 | 2007-04-06 |
| 1528192846 | Orthopedic Center PC | Orthopaedic Surgery | 601 S. Main St., Glennville, GA 30427 | 2007-03-16 |
| 1447339015 | Southern Medical Group | Internal Medicine | 601 S. Veterans Blvd, Glennville, GA 30427 | 2006-11-03 |
| 1154435550 | Roger W Beville | Family Medicine | 1000 B. North Veterans Boulevard, Glennville, GA 30427 | 2006-08-19 |
| 1265545115 | Sang Wan Oh | General Practice | 257 South Main Street, Reidsville, GA 30427 | 2006-08-16 |
| 1982613568 | Kenneth Lane Durrence | Physical Therapist | 104 W. Rustin St., Glennville, GA 30427 | 2006-08-05 |
| 1275540932 | Hee-jun Gregory Kim | General Practice | 706 W Barnard St, Glennville, GA 30427 | 2006-08-02 |
| Find all providers in zip 30427 | ||||
| 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 |
|---|---|---|---|---|
| 1063710101 | Amber Nicole Dasher Downs | Pharmacist | 402 S Veterans Blvd, Glennville, GA 30427-1772 | 2011-03-13 |
| 1598922288 | Michelle Ledesma Glisson | Pharmacist | 114 W Barnard St, Glennville, GA 30427-2000 | 2008-05-20 |
| 1275647380 | Dennis Howard Strickland | Pharmacist | 111 E Barnard St, Glennville, GA 30427-1553 | 2006-08-18 |
| 1548255383 | Sharon B. Durrence | Pharmacist | 15214 Highway 301, Glennville, GA 30427-8308 | 2005-09-19 |
| 1053968339 | Marisa Collins | Pharmacist | 402 S Veterans Blvd, Glennville, GA 30427-1772 | 2019-08-21 |
| 1003386566 | Brenna Dreggors | Pharmacist | 402 S Veterans Blvd, Glennville, GA 30427-1772 | 2018-11-27 |
| 1013428325 | Allison Nguyen | Pharmacist | 402 S Veterans Blvd, Glennville, GA 30427-1772 | 2017-10-13 |
| 1750794830 | Ashley Nicole Turk | Pharmacist | 402 S Veterans Blvd, Glennville, GA 30427-1772 | 2014-06-06 |
| 1568873370 | Kenneth Brant Kicklighter Jr. | Pharmacist | 111 E Barnard St, Glennville, GA 30427-1660 | 2014-05-14 |
| 1427162551 | Strickland's Pharmacy | Pharmacist | 111 E Barnard St, Glennville, GA 30427-1553 | 2006-08-18 |
| Find all providers in GLENNVILLE | ||||
| City | GLENNVILLE |
| Zip Code | 30427 |
Please comment or provide details below to improve the information on DR. CARLTON WENDELL DURRENCE III.
| 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.