JACQUE CHARLES (NPI# 1255758090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255758090 |
| Entity Type | Individual |
| Full Name | JACQUE CHARLES |
| Credential | PD |
| Practice Address |
311 W Chestnut St Marianna AR 72360-2131 |
| Practice Telephone | 8702954100 |
| Practice Fax Number | 8702954102 |
| Mailing Telephone | 8702954100 |
| Mailing Fax Number | 8702954102 |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2018-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PD07286 | AR | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1640 S Whitehead Dr, De Witt, AR 720422994 | 8709462381 | 8709464286 |
| Street Address |
311 W CHESTNUT ST |
| City | MARIANNA |
| State | AR |
| Zip Code | 72360-2131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396984498 | Deans Pharmacies Inc | Pharmacy | 311 W Chestnut St, Marianna, AR 72360-2131 | 2009-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255843306 | Hannah Michelle Byrd | Occupational Therapy Assistant | 3326 Hwy 1 South, Forrest City, AR 72360 | 2017-10-30 |
| 1114237369 | Don W. Ball, M.d. P,a. | General Practice | 154 Mulberry Street, Marianna, AR 72360 | 2010-10-20 |
| 1528234101 | Counseling Consultants | Clinic/Center | 199 Hwy 243, Marianna, AR 72360 | 2008-05-05 |
| 1467658435 | Requisha Denee Brooks | Home Health Aide | 218 E. Mlk Apt 1, Marianna, AR 72360 | 2007-06-26 |
| 1740310481 | Abe Lovelace | Social Worker | 63 N Carolina St, Marianna, AR 72360 | 2007-03-06 |
| 1932254653 | Alisia Skinner | Physical Therapy Assistant | 700 West Chestnut, Marianna, AR 72360 | 2007-01-24 |
| 1063577682 | James Wilson Jr. | Lodging | 1679 Highway 243 South, Marianna, AR 72360 | 2006-12-26 |
| 1073693701 | Marianna Family Medicine Clinic Pllc | Family Medicine | 29 West Tennessee Street, Marianna, AR 72360 | 2006-10-17 |
| 1467469718 | Jonathan Simmons | Optometrist | 219 W. Chestnut, Marianna, AR 72360 | 2006-08-01 |
| 1093093247 | Valentine C Emechete | Dentist | 530 West Atkins Blvd, Mrianna, AR 72360 | 2011-07-21 |
| Find all providers in zip 72360 | ||||
| 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 |
|---|---|---|---|---|
| 1467888131 | D.clinton Jumper | Pharmacist | 438 S Alabama St, Marianna, AR 72360-2753 | 2013-09-25 |
| 1639302482 | Heather Lee Bozeman | Pharmacist | 4684 Hwy 90, Marianna, FL 32446 | 2009-08-27 |
| 1093923096 | Debbie Ann Sinclair | Pharmacist | 4478 Market St., Marianna, FL 32446-0000 | 2007-05-21 |
| 1821698408 | Brandrail Brown | Pharmacist | 2255 Highway 71, Marianna, FL 32448-2541 | 2020-10-31 |
| 1164087698 | Jimmy Watts | Pharmacist | 4314 5th Ave, Marianna, FL 32446-2182 | 2019-05-09 |
| 1912561572 | Theresa Stone Mckeithan | Pharmacist | 4314 5th Ave, Marianna, FL 32446-2174 | 2019-04-29 |
| 1205490133 | Laira Skipper Chambers | Pharmacist | 4314 5th Ave, Marianna, FL 32446-2182 | 2019-04-25 |
| 1902233687 | James Michael Woodyard | Pharmacist | 438 S Alabama St, Marianna, AR 72360-2753 | 2013-09-26 |
| 1164794749 | Burton L Dunaway | Pharmacist | 4314 5th Ave, Marianna, FL 32446-2182 | 2012-01-30 |
| 1982913158 | Lee J Temples | Pharmacist | 4478 Market St., Marianna, FL 32446 | 2010-10-05 |
| Find all providers in MARIANNA | ||||
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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.