Zachary Jon Bodkin

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

PHTC050529 Issued in GA

Practice address

4391 Acworth Dallas Rd NW Ste 200
Acworth, GA 30101-4335

Phone

(770) 370-2235

Fax

(770) 370-2236

NPI assigned

Aug 9, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Acworth, GA
  • NPI 1508380080
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1679256382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4391 ACWORTH DALLAS RD NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301014334",
            "telephone_number": "770-370-2235",
            "fax_number": "770-370-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4391 ACWORTH DALLAS RD NW STE 200",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301014335",
            "telephone_number": "770-370-2235",
            "fax_number": "770-370-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODKIN",
        "first_name": "ZACHARY",
        "middle_name": "JON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "GA",
            "license": "PHTC050529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Renee Black
• Teresa Blakeslee, PT
• Nicole Blanchette, BCBA, LABA
• Blessed Assured in-Home Care LLC
• Bloom and Balance Medicine
• Myra Boerner, OTR
• Amanda Boles, PHARMACIST
• Christine Bollinger, D.C.
• Mary Elizabeth Gill Bonds, OTR/L
• Sheryl Booth

• Pharmacy Technician in Acworth, GA
• Providers in Acworth, GA by specialty
• Pharmacy Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.