Dawntril Tamesia-Reid Anderson, RPH
Individual provider Active NPI Pharmacist · Covington, GA
NPI 1972107803 · NPPES record last updated Nov 22, 2020
Key facts
- NPI
- 1972107803
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH021798 (GA)
- Practice address
- 5384 Highway 20 S
Covington, GA 30016-4403 - Phone
- (770) 788-6566
- Fax
- (770) 788-6567
- NPI assigned
- Nov 22, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH021798 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia CVS Pharmacy L.L.C | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH021798 | GA | Yes |
Addresses
Primary practice location
5384 Highway 20 S
Covington, GA 30016-4403
Mailing address
5484 Highway 20 S
Covington, GA 30016
Phone (770) 788-6566
Other providers in Covington, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.