Iesha Ranae Gonder, is a
Pharmacist based in Vinings, Georgia. Iesha Ranae Gonder is licensed to practice in Georgia (license number RPH033917) and her current practice location is
4300 Paces Ferry Rd Se Ste 17, Vinings, Georgia. She can be reached at her office (for appointments etc.) via phone at
(770) 433-9437.
NPI number for Iesha Ranae Gonder is 1750079125 and her current mailing address is 206 Long Leaf Way, Dublin, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750079125.
Healthcare Provider's Profile
| Full Name | Iesha Ranae Gonder |
|---|
| Gender | Female |
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| Speciality | Pharmacist |
|---|
| Location | 4300 Paces Ferry Rd Se Ste 17, Vinings, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1750079125
- Provider Enumeration Date: 04/25/2023
- Last Update Date: 01/21/2024
Medical Identifiers
Medical identifiers for Iesha Ranae Gonder such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750079125 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | RPH033917 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Iesha Ranae Gonder is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Iesha Ranae Gonder,
206 Long Leaf Way,
Dublin, GA 31021-1680
Ph: (478) 595-0913 | Iesha Ranae Gonder,
4300 Paces Ferry Rd Se Ste 17,
Vinings, GA 30339-5703
Ph: (770) 433-9437 |
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