DR. JASON C MCKEWEN (NPI# 1215182985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215182985 |
| Entity Type | Individual |
| Full Name | DR. JASON C MCKEWEN |
| Credential | PHARMD |
| Practice Address |
200 W Tyler Ave West Memphis AR 72301-4223 |
| Mailing Address |
602 Charleswood Dr Marion AR 72364-1838 |
| Practice Telephone | 8707327701 |
| Mailing Telephone | 8707392040 |
| Enumeration Date | 2008-11-23 |
| Last Update Date | 2008-11-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PD09481 | AR | Pharmacy Service Providers |
| Street Address |
200 W TYLER AVE |
| City | WEST MEMPHIS |
| State | AR |
| Zip Code | 72301-4223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750368759 | Donald William Edgerly | Family Medicine | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2005-12-30 |
| 1811397466 | Meshelle Elizabeth Nabors | Registered Nurse | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2014-09-02 |
| 1386064103 | Brittany Forbes | Nurse Practitioner | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2014-04-19 |
| 1679833651 | Crittenden Physician Services LLC | Physician Assistant | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2012-05-23 |
| 1225366024 | Crittenden Emergency Group LLC | Physician Assistant | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2009-12-07 |
| 1659608735 | Angela R Whatley | Doula | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2009-11-10 |
| 1346483799 | Kimberly Latashia Crenshaw | Emergency Medicine | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2009-04-15 |
| 1588875629 | Deepali Suryavanshi | Occupational Therapist | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2007-05-24 |
| 1316155971 | Crittenden Hospital Association | Home Health | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2007-05-18 |
| 1821113879 | Crittenden Hospital Association | Anesthesiology | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2007-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235755497 | Shannon Mcelroy | Pharmacist | 300 I-40 Service Rd, West Memphis, AR 72301 | 2020-06-23 |
| 1891319745 | Heather Nichole Fesperman | Nurse Practitioner | 420 W Cooper Ave, West Memphis, AR 72301 | 2020-06-05 |
| 1174161475 | Mary Williams | Pharmacist | 300 I-40 Service Road, West Memphis, AR 72301 | 2019-12-17 |
| 1336787035 | Yolanda Monique Fulton | Assisted Living Facility | 711 Purduve Ave, West Memphis, AR 72301 | 2019-12-13 |
| 1255813317 | Urgent Care Travel, Inc | Clinic/Center | 3400 Service Loop 2, West Memphis, AR 72301 | 2018-09-05 |
| 1841770302 | Cuffie Healthcare LLC | Home Health | 403 Ingram Blvd, West Memphis, AR 72301 | 2018-08-15 |
| 1467940312 | Mark Aaron Whitlock | Dentist | 110 Dover Rd, West Memphis, AR 72301 | 2018-04-26 |
| 1043715329 | Crossroads Treatment Center of West Memphis, PC | Clinic/Center | 103 S Avalon St, West Memphis, AR 72301 | 2018-03-28 |
| 1114445202 | Deborah Thompson Ferguson | Dentist | 200 S Rhodes St Ste B, West Memphis, AR 72301 | 2017-09-08 |
| 1154745487 | Erin Camille Greer | Specialist/Technologist | 610 N. Missouri Street, Suite 1, West Memphis, AR 72301 | 2014-02-06 |
| Find all providers in zip 72301 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 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. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235755497 | Shannon Mcelroy | Pharmacist | 300 I-40 Service Rd, West Memphis, AR 72301 | 2020-06-23 |
| 1174161475 | Mary Williams | Pharmacist | 300 I-40 Service Road, West Memphis, AR 72301 | 2019-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306485545 | Ryan Adams | Pharmacist | 20820 I-30 North, Benton, AR 72019 | 2020-01-06 |
| 1982243655 | Amanda Reynolds | Pharmacist | 6929 Jfk Blvd Ste 5, North Little Rock, AR 72116-5397 | 2019-12-30 |
| 1336788074 | Melissa Ann Vail | Pharmacist | 6929 John F Kennedy Blvd Ste 5, North Little Rock, AR 72116-5397 | 2019-12-28 |
| 1215575964 | Jill Madonia Frazier | Pharmacist | 2 Coffee Pot Ln, Little Rock, AR 72202-1624 | 2019-12-12 |
| 1851938732 | Jerald Christopher Hailey | Pharmacist | 8415 W Markham St Ste B, Little Rock, AR 72205-2496 | 2019-12-10 |
| 1184261174 | Ashley Nicole Norton | Pharmacist | 4403 Camp Robinson Rd Ste A, North Little Rock, AR 72118-3699 | 2019-12-09 |
| 1205344678 | Whitney Woodward Campbell | Pharmacist | 1848 W Main St, Cabot, AR 72023-2745 | 2018-01-18 |
| 1659807691 | Janna Hawthorne | Pharmacist | 900 S Shackleford Rd Ste 501, Little Rock, AR 72211-3847 | 2017-05-11 |
| 1578987566 | Cheryl Ann Bush | Pharmacist | 16912 Old Highway 5, Cabot, AR 72023-8051 | 2014-02-11 |
| 1841639994 | Carol Ann Vestal | Pharmacist | 518 Meadow Rd, Russellville, AR 72802-1829 | 2013-06-21 |
| Find all providers with the same taxonomy | ||||
| City | WEST MEMPHIS |
| Zip Code | 72301 |
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| 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.