JOHN SMALL (NPI# 1972103422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972103422 |
| Entity Type | Individual |
| Full Name | JOHN SMALL |
| Practice Address |
2510 Redmond Cir Nw Rome GA 30165-1913 |
| Mailing Address |
2386 Willington Shoals Pl Se Smyrna GA 30080-8513 |
| Practice Telephone | 7062353699 |
| Practice Fax Number | 7062354212 |
| Mailing Telephone | 4043728564 |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH024925 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609844091 | John Lucas Small | Optometrist | 5434 Carpinteria Ave, Carpinteria, CA 93013-1423 | 2006-03-10 |
| 1619948692 | John T. Small | Emergency Medicine | 3802 Ky-321, Haggerhill, KY 41222 | 2006-01-30 |
| 1023231453 | John M. Small | Social Worker | 2525 W Bancroft St, Toledo, OH 43607-1311 | 2007-04-11 |
| 1144227364 | John M Small | Orthopaedic Surgery | 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925 | 2005-07-01 |
| Street Address |
2510 REDMOND CIR NW |
| City | ROME |
| State | GA |
| Zip Code | 30165-1913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740207067 | Wal-mart Stores East Lp | Pharmacy | 2510 Redmond Cir Nw, Rome, GA 30165-1913 | 2006-07-16 |
| 1982204582 | Drashti Patel | Pharmacist | 2510 Redmond Cir Nw, Rome, GA 30165-1913 | 2020-11-01 |
| 1194127530 | Torrey Atchley | Nurse Practitioner | 2510 Redmond Cir Nw, Rome, GA 30165-1913 | 2014-09-17 |
| 1174930150 | Wal-mart Stores East, Lp | Nurse Practitioner | 2510 Redmond Cir Nw, Rome, GA 30165-1913 | 2014-07-22 |
| 1073602934 | Wal-mart Stores East, Lp | Technician/Technologist | 2510 Redmond Cir Nw, Rome, GA 30165-1913 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868775 | Heather Bowman | Physical Therapist | 600 Eagle, E Lake Dr, Rome, GA 30165 | 2020-07-13 |
| 1205451101 | Kristopher Nelson | Student in an Organized Health Care Education/Training Program | 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 | 2020-06-16 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1386001055 | Autumn Streetman | Counselor | 6 Mathis Drive, Rome, GA 30165 | 2016-01-26 |
| 1144695784 | Gabrador Milligan | Counselor | 6 Mathis Road, Rome, GA 30165 | 2015-12-08 |
| 1386041952 | Theresa Suits | Registered Nurse | 1 Woodbine Avenue, Rome, GA 30165 | 2014-11-26 |
| 1942561147 | Nicole C. Christian | Clinical Neuropsychologist | 305 Redmond Rd, Rome, GA 30165 | 2012-06-04 |
| 1679832711 | Niki Pareshkumar Bhavsar | Internal Medicine | 3041 Turner Mccall Blvd, Rome, GA 30165 | 2012-05-10 |
| 1285927491 | Amanda Fischer Reeves | Family Medicine | 304 Shorter Ave Nw Ste 102, Rome, GA 30165 | 2011-05-20 |
| 1033436647 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 4 Coosawattee Ave, Rome, GA 30165 | 2010-04-23 |
| Find all providers in zip 30165 | ||||
| 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 |
|---|---|---|---|---|
| 1770135246 | Nys Doccs Mohawk Correctional Facility Pharmacy | Pharmacist | 6514 Rt. 26, Building 55, Rome, NY 13442 | 2019-07-15 |
| 1891170650 | Colleen Foose | Pharmacist | 7695 Kilbourn Rd, Rome, NY 13440-6332 | 2015-07-22 |
| 1104201169 | Zachery Yates | Pharmacist | 6437 Monument Rd, Rome, NY 13440-7209 | 2015-07-20 |
| 1205210259 | Alex Gelfand | Pharmacist | 2006 Maple Ave Sw, Rome, GA 30161-6739 | 2015-07-18 |
| 1487049383 | Christopher Ryan Coker | Pharmacist | 681 Ervin Coker Rd Ne, Rome, GA 30161-3939 | 2015-03-30 |
| 1902299530 | Michael Thomas Phillips | Pharmacist | 2005 Maple Street, Rome, GA 30161 | 2015-03-06 |
| 1760888689 | Ashley Elizabeth Bloomquist | Pharmacist | 808 West Chestnut Street, Rome, NY 13440 | 2014-11-05 |
| 1891196416 | Kyle David Giczkowski | Pharmacist | 6408 Edgewood Dr, Rome, NY 13440-1938 | 2014-09-15 |
| 1669899100 | Kevin Hoehn | Pharmacist | 7576 Watson Hollow Rd, Rome, NY 13440-1524 | 2014-03-22 |
| 1871929422 | Amanda Elyse Zell | Pharmacist | 435 Turner Mccall Blvd Ne, Rome, GA 30165-2735 | 2013-09-15 |
| Find all providers in ROME | ||||
Please comment or provide details below to improve the information on JOHN SMALL.
| 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.