Healthcare Provider Details

I. General information

NPI: 1407733843
Provider Name (Legal Business Name): VALERY MELISSA CEPEDA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2025
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1439 JESSE JEWELL PKWY NE STE 201
GAINESVILLE GA
30501-3806
US

IV. Provider business mailing address

229 RED BUD RD
JEFFERSON GA
30549-9024
US

V. Phone/Fax

Practice location:
  • Phone: 770-219-7031
  • Fax:
Mailing address:
  • Phone: 706-664-1924
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberPDTM000298
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH034947
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: