CARLY PATTERSON (NPI# 1093285322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093285322 |
| Entity Type | Individual |
| Full Name | CARLY PATTERSON |
| Practice Address |
153 Nw Park Sq Russellville KY 42276-1335 |
| Mailing Address |
153 Nw Park Sq Russellville KY 42276-1398 |
| Practice Telephone | 2707267626 |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2018-11-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 017303 | KY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306491659 | Carly Patterson | Social Worker | 409 S Oakland St, Gastonia, NC 28052-4312 | 2019-08-05 |
| 1528138328 | Carly Patterson | Counselor | 200 Mcgee Rd, Anderson, SC 29625-2104 | 2006-11-09 |
| Street Address |
153 NW PARK SQ |
| City | RUSSELLVILLE |
| State | KY |
| Zip Code | 42276-1335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083787923 | Riley White Inc | Pharmacy | 153 Nw Park Sq, Russellville, KY 42276-1335 | 2006-11-16 |
| 1184997157 | Lindsey K Flanders | Pharmacist | 153 Nw Park Sq, Russellville, KY 42276-1335 | 2012-02-21 |
| 1518091198 | Jerrold D White | Pharmacist | 153 Nw Park Sq, Russellville, KY 42276-1335 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497302723 | Community Health Centers of Western Kentucky Inc | Family Medicine | 1497 Nashville Road, Russellville, KY 42276 | 2019-08-21 |
| 1104471911 | Lashawnda Lee | Nurse Practitioner | 60 Shelton Lane, Russellville, KY 42276 | 2019-08-08 |
| 1003940867 | Russellville Ind. Schools | Local Education Agency (LEA) | 355 S Seminary St, Russellville, KY 42276 | 2007-03-15 |
| 1083756217 | Robert Ellis Allison | Dentist | 248 East 5th Street, Russellville, KY 42276 | 2007-02-13 |
| 1578602033 | Acsr, Inc. | Clinic/Center | 3239 Lewisburg Rd, Russellville, KY 42276 | 2007-02-05 |
| 1568535250 | David Guion | Pharmacist | 153 Park Square Nw, Russellville, KY 42276 | 2006-11-17 |
| 1144339177 | Dale Woodall Clark | Dentist | 204 East Fourth St, Russellville, KY 42276 | 2006-08-30 |
| 1033120662 | Darla Sherrod Barrow | Optometrist | 709 East 4th St, Russellville, KY 42276 | 2006-08-10 |
| 1265405005 | Varsha Humble | Pediatrics | 1497 Nashville St, Russellville, KY 42276 | 2006-02-10 |
| 1235139247 | Darla Sherrod Barrow | Optometrist | 709 East 4th Street, Russellville, KY 42276 | 2005-08-01 |
| Find all providers in zip 42276 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002782 | Randy Paul Stayton | Pharmacist | 2109 W Main, Russellville, AR 72801 | 2020-10-30 |
| 1356975890 | William John Cobb | Pharmacist | 108 Skyline Dr Ste B, Russellville, AR 72801-3306 | 2020-02-24 |
| 1902384720 | Randy Wade Gooch | Pharmacist | 13675 Us-43, Russellville, AL 35653 | 2018-08-02 |
| 1700301470 | Carole Ann Montgomery | Pharmacist | Walmart Pharmacy, 13675 Us-43, Russellville, AL 35653 | 2017-08-03 |
| 1700260619 | Nikki Jean Scott | Pharmacist | 100 S Knoxville Ave, Russellville, AR 72801-5315 | 2015-07-10 |
| 1023411220 | Wesley Charles Mayfield | Pharmacist | 14001 Hwy 43 Suite 13, Russellville, AL 35653 | 2014-10-01 |
| 1639425911 | Daniel Lee Emery | Pharmacist | 1405 Nashville St Ste A, Russellville, KY 42276-8850 | 2012-07-24 |
| 1518275080 | Dennis E Wheelus | Pharmacist | 3303 W Main Pl, Russellville, AR 72801-2334 | 2010-09-18 |
| 1154647287 | Jimmy Gregory Lane | Pharmacist | 1369 B George Wallace Highway, Russellville, AL 35654 | 2010-04-14 |
| 1083930572 | Jody Kiel | Pharmacist | 15385 Highway 43, Russellville, AL 35653-8061 | 2010-04-09 |
| Find all providers in RUSSELLVILLE | ||||
| City | RUSSELLVILLE |
| Zip Code | 42276 |
Please comment or provide details below to improve the information on CARLY PATTERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.