VERNON DEWAYNE CROWELL JR. (NPI# 1336787308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336787308 |
| Entity Type | Individual |
| Full Name | VERNON DEWAYNE CROWELL JR. |
| Credential | PHARMD |
| Practice Address |
220 Court Sq De Witt AR 72042-2057 |
| Practice Telephone | 8709464221 |
| Mailing Telephone | 8709464221 |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2019-12-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | C15041 | AR | Pharmacy Service Providers |
| Street Address |
220 COURT SQ |
| City | DE WITT |
| State | AR |
| Zip Code | 72042-2057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306461421 | Tommy Glenn Black | Pharmacist | 220 Court Sq, De Witt, AR 72042-2057 | 2020-06-15 |
| 1013556042 | Kristi Leigh Whitmore | Pharmacist | 220 Court Sq, De Witt, AR 72042-2057 | 2019-12-20 |
| 1396882122 | Tommys Rexall Drug Company Inc | Durable Medical Equipment & Medical Supplies | 220 Court Sq, De Witt, AR 72042-2057 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295839397 | Stanley Wayne Burleson | Family Medicine | 705 W 16th St, Dewitt, AR 72042 | 2006-09-11 |
| 1770796401 | Randall S Hestir Dds Inc | Dentist | 1703 S Whitehead Dr, Dewitt, AR 72042 | 2007-05-08 |
| 1013076397 | James Douglas Allen | Dentist | 1703 S Whitehead Dr, Dewitt, AR 72042 | 2006-12-06 |
| 1780754036 | Randall S Hestir | Dentist | 1703 S Whitehead Dr, Dewitt, AR 72042 | 2006-11-08 |
| 1710207808 | Suzette Nicole Boyd | Nurse Practitioner | 1641 South Whitehead Drive, Dewitt, AR 72042-0000 | 2010-06-11 |
| 1992714992 | Evergreene Properties of North Carolina,llc | Skilled Nursing Facility | 1325 Liberty Drive, Dewitt, AR 72042-0589 | 2006-08-07 |
| 1225328511 | Dewitt School District | Local Education Agency (LEA) | 422 W 1st St, De Witt, AR 72042-1906 | 2011-04-08 |
| 1629376173 | Tiffany N Mcpherson | Counselor | 108 S Jefferson St, De Witt, AR 72042-1929 | 2011-03-08 |
| 1376793406 | Dana's House, Inc. | Foster Care Agency | 108 S Jefferson St, De Witt, AR 72042-1929 | 2008-09-25 |
| 1164550760 | Markallen Behavioral Health System, Inc. | Counselor | 108 S Jefferson St, Dewitt, AR 72042-1929 | 2007-03-02 |
| Find all providers in zip 72042 | ||||
| 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 |
|---|---|---|---|---|
| 1306461421 | Tommy Glenn Black | Pharmacist | 220 Court Sq, De Witt, AR 72042-2057 | 2020-06-15 |
| 1013556042 | Kristi Leigh Whitmore | Pharmacist | 220 Court Sq, De Witt, AR 72042-2057 | 2019-12-20 |
| 1003395435 | Samantha Spicer | Pharmacist | 1640 S Whitehead Dr, De Witt, AR 72042-2994 | 2018-08-07 |
| 1679078760 | Kaylee Hall | Pharmacist | 629 6th Ave, De Witt, IA 52742-1635 | 2018-03-29 |
| 1770952673 | Bobby Jo Kessler Mosier | Pharmacist | 629 6th Ave, De Witt, IA 52742-1635 | 2015-09-21 |
| 1538550447 | Donald Joseph Ladd | Pharmacist | 333 Butternut Dr, Ste 102, De Witt, NY 13214-1981 | 2015-02-13 |
| 1154733426 | Ashley Butt | Pharmacist | 629 6th Ave, De Witt, IA 52742-1635 | 2014-05-21 |
| 1033547948 | Howard Dean Watts | Pharmacist | 1640 S Whitehead Dr, De Witt, AR 72042-2994 | 2013-10-31 |
| 1326476235 | Karen Watts | Pharmacist | 1640 S Whitehead Dr, De Witt, AR 72042-2994 | 2013-10-31 |
| 1245663897 | Abby Staton | Pharmacist | 1640 S Whitehead Dr, De Witt, AR 72042-2994 | 2013-08-19 |
| Find all providers in DE WITT | ||||
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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.