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JEFFREY RAKESTRAW
NPI 1235760430
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Dallas, GA

Active since January 28, 2020
457 NATHAN DEAN BLVD, DALLAS, GA 30132(770) 443-8776 Get Directions Write a Review

NPPES record last updated: January 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeffrey Rakestraw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY RAKESTRAW (NPI 1235760430) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Dallas, Georgia, licensed in Georgia (016922) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1235760430
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameJEFFREY RAKESTRAW
Location Address457 NATHAN DEAN BLVDDallas, GA 30132-4911
Mailing Address457 Nathan Dean BlvdDallas, GA 30132-4911
Phone(770) 443-8776
Sole ProprietorNo
Enumeration DateJanuary 28, 2020
✔ NPI 1235760430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in GA · 016922
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
457 NATHAN DEAN BLVD, Dallas, GA 30132
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THE KROGER CO
Pharmacy (Community/Retail Pharmacy)
457 NATHAN DEAN BLVD
DALLAS, GA 30132
Paulding County (770) 443-8776
PATRICK TU PHARM.D
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
457 NATHAN DEAN BLVD
DALLAS, GA 30132
Paulding County (770) 443-8776
AMANUEAL WODAJO
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
457 NATHAN DEAN BLVD
DALLAS, GA 30132
Paulding County (770) 443-8776
KATHERINE ANN ANDERSON
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
457 NATHAN DEAN BLVD
DALLAS, GA 30132
Paulding County (770) 443-8776

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Rakestraw's NPI number?

The NPI number for Jeffrey Rakestraw is 1235760430. It was assigned to this individual provider in the NPPES registry on January 28, 2020.

Where is Jeffrey Rakestraw located?

Jeffrey Rakestraw practices at 457 Nathan Dean Blvd, Dallas, GA 30132. The listed phone number is (770) 443-8776.

What is Jeffrey Rakestraw's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Jeffrey Rakestraw was last updated on January 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.