KELLY ELROD (NPI# 1316235476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316235476 |
| Entity Type | Individual |
| Full Name | KELLY ELROD |
| Credential | PHARMACY TECH. |
| Practice Address |
1718 Hot Springs Hwy Benton AR 72019-2116 |
| Mailing Address |
Po Box 1589 Benton AR 72018-1589 |
| Practice Telephone | 5013153344 |
| Mailing Telephone | 5013153344 |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2011-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | 064099 | AR | Pharmacy Service Providers |
| Street Address |
1718 HOT SPRINGS HWY |
| City | BENTON |
| State | AR |
| Zip Code | 72019-2116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548579006 | Ryan Hughes | Technician, Other | 1718 Hot Springs Hwy, Benton, AR 72019-2116 | 2010-10-01 |
| 1972135465 | Haleigh Hatley | Pharmacist | 1718 Hot Springs Hwy, Benton, AR 72019-2116 | 2020-02-12 |
| 1215576798 | Nicholas Murray | Pharmacist | 1718 Hot Springs Hwy, Benton, AR 72019-2116 | 2019-12-31 |
| 1548510563 | Teresa Price | Pharmacist | 1718 Hot Springs Hwy, Benton, AR 72015 | 2012-09-18 |
| 1518244607 | Fred J Savage | Pharmacist | 1718 Hot Springs Hwy, Benton, AR 72019-2116 | 2011-11-03 |
| 1780974824 | Jason Finley | Pharmacist | 1718 Hot Springs Hwy, Benton, AR 72019-2116 | 2011-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898293 | Arkansas Heart Hospital LLC | General Acute Care Hospital | 1901 Encore Way, Bryant, AR 72019 | 2020-10-16 |
| 1306485545 | Ryan Adams | Pharmacist | 20820 I-30 North, Benton, AR 72019 | 2020-01-06 |
| 1649819962 | Josh Landrum | Pharmacist | 20820 I 30 N, Benton, AR 72019 | 2020-01-03 |
| 1710525720 | Melanie Mabry | Nurse Practitioner | 11510 State Highway 298, Benton, AR 72019 | 2019-12-20 |
| 1578086864 | Ronald Winkler | Occupational Therapy Assistant | 2907 Hurricane Lake Rd, Bryant, AR 72019 | 2017-07-19 |
| 1801243357 | Richard Andrew Dwiggins | Social Worker | 1718 Old Hot Springs Highway, Benton, AR 72019 | 2016-05-14 |
| 1184008377 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 2080 I-30 North, Benton, AR 72019 | 2015-07-17 |
| 1689910051 | Rachel Cloud | Physical Therapist | 2010 Activeway, Benton, AR 72019 | 2012-12-12 |
| 1538444583 | Stacy Ann Harris | Specialist | 403 Demuth Lane, Benton, AR 72019 | 2011-10-20 |
| 1144528423 | Robert Mark Robinson | Licensed Practical Nurse | 5 Hickory Ridge Drive, Benton, AR 72019 | 2011-03-10 |
| Find all providers in zip 72019 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336558188 | Ardell Bozeman | Pharmacy Technician | 1718 Old Hot Springs Hwy, Benton, AR 72015 | 2014-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598310484 | Catherine Bryant | Pharmacy Technician | 105 Chitwood St, Hot Springs, AR 71913-4218 | 2019-08-07 |
| 1639454317 | Leland R Turner | Pharmacy Technician | 301 1/2 S Maple St, Little Rock, AR 72205-5612 | 2011-10-13 |
| 1275771651 | Raymond Leon Yarbrough | Pharmacy Technician | 2022 Rice St, Little Rock, AR 72202-6148 | 2009-01-23 |
| 1467607804 | Cheryl Harris | Pharmacy Technician | 6 Twin Pine Pl, Little Rock, AR 72210-5645 | 2008-11-26 |
| 1275788267 | Miranda Ty Neal | Pharmacy Technician | 500 S Valentine St Apt C, Little Rock, AR 72205-5753 | 2008-11-18 |
| 1811141260 | Ordrey L Denton | Pharmacy Technician | 1812 Oakwood Apartments, 164, Jacksonville, AR 72076 | 2008-11-12 |
| 1942453980 | Brenda A Butler | Pharmacy Technician | 2020 Hinson Loop Rd, Little Rock, AR 72212-3900 | 2008-11-03 |
| 1982857116 | Irma S Stewart | Pharmacy Technician | 9124 Highway 365 S, Little Rock, AR 72206-7402 | 2008-10-31 |
| 1396998605 | Michael S. Miller | Pharmacy Technician | 5029 Fleming Ln, North Little Rock, AR 72117-1951 | 2008-10-30 |
| 1548424856 | Sofia Yvonne Andrews | Pharmacy Technician | 4300 W 7th, Littlerock, AR 72205 | 2008-07-16 |
| Find all providers with the same taxonomy | ||||
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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.