DR. ELLEN BROOKS TEETER (NPI# 1376829325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376829325 |
| Entity Type | Individual |
| Full Name | DR. ELLEN BROOKS TEETER |
| Credential | PHARM D. |
| Practice Address |
702 Military Rd Benton AR 72015-3311 |
| Mailing Address |
48 Commentry Dr Little Rock AR 72223-4595 |
| Practice Telephone | 5018607373 |
| Practice Fax Number | 5018606704 |
| Mailing Telephone | 5016734336 |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2011-10-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PD10542 | AR | Pharmacy Service Providers |
| Street Address |
702 MILITARY RD |
| City | BENTON |
| State | AR |
| Zip Code | 72015-3311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902811268 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 702 Military Rd, Benton, AR 72015-3311 | 2006-07-29 |
| 1366053399 | Sara Camp | Pharmacist | 702 Military Rd, Benton, AR 72015-3311 | 2020-08-13 |
| 1740891522 | Marisa Ann Grissom | Pharmacist | 702 Military Rd, Benton, AR 72015-3311 | 2020-08-13 |
| 1750811048 | Anna Marie Mcguire | Pharmacist | 702 Military Rd, Benton, AR 72015-3311 | 2017-06-19 |
| 1609259498 | John Jeffrey Pugh | Pharmacist | 702 Military Rd, Benton, AR 72015-3311 | 2015-06-30 |
| 1548602857 | Ross Anthony Davis | Pharmacist | 702 Military Rd, Benton, AR 72015-3311 | 2013-07-28 |
| 1487095006 | Amy Victoria Givens | Pharmacist | 702 Military Rd, Benton, AR 72015-3311 | 2013-07-11 |
| 1083054779 | Sandra Hawn | Pharmacist | 702 Military Rd, Benton, AR 72015-3311 | 2013-06-27 |
| 1821373150 | Chad Fellers | Pharmacist | 702 Military Rd, Benton, AR 72015-3311 | 2011-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
| 1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
| 1396269627 | Abby G Sims | Speech-Language Pathologist | 3391 Peachtree Lane, Benton, AR 72015 | 2017-07-28 |
| 1225551278 | Jessica R Poe | Case Manager/Care Coordinator | 1502 Marykay Blvd, Benton, AR 72015 | 2017-07-21 |
| 1003357997 | Jamaal Langston | Case Manager/Care Coordinator | 1502 Mark Kay Blvd, Benton, AR 72015 | 2017-03-13 |
| 1881138550 | Shannon Gachot-ridgley | Counselor | 205 South Street Suite 3, Benton, AR 72015 | 2016-12-14 |
| 1295104578 | Excel Health of Haskell, Pllc | Clinical Nurse Specialist | 6029 Us Hwy 67, Haskell, AR 72015 | 2015-09-17 |
| 1528464054 | Kacey Jo Kiker | Nurse Practitioner | 620 W South St, Benton, AR 72015 | 2014-11-11 |
| 1700218252 | Jamie Brunt | Licensed Practical Nurse | 1718 Old Hot Springs Rd, Benton, AR 72015 | 2013-08-07 |
| 1760738942 | Kari J Richards | Physical Therapist | 5701 Springhill Rd, Bryant, AR 72015 | 2012-07-25 |
| Find all providers in zip 72015 | ||||
| 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 |
|---|---|---|---|---|
| 1346841517 | Samuel Wolf | Pharmacist | 17309 Interstate 30 S, Benton, AR 72015-2927 | 2020-11-04 |
| 1386244838 | Dana L Henson | Pharmacist | 3958 Hampton Dr, Benton, AR 72019-7609 | 2020-10-26 |
| 1154942845 | Blake Torres | Pharmacist | 501 W Sevier St, Benton, AR 72015-4215 | 2020-05-04 |
| 1649819962 | Josh Landrum | Pharmacist | 20820 I 30 N, Benton, AR 72019 | 2020-01-03 |
| 1295296614 | Harrison Family Pharmacy, P.l.l.c. | Pharmacist | 2323 N Highway 229 Ste A, Benton, AR 72015-7202 | 2019-03-28 |
| 1881170751 | Tim Grifford | Pharmacist | 1220 Curtis Ln, Benton, AR 72019-8358 | 2018-07-13 |
| 1194219410 | Tim James Finley | Pharmacist | 1016 W South St Ste 1, Benton, AR 72015-4074 | 2018-06-20 |
| 1073023099 | Charlotte K Moss | Pharmacist | 4375 Red Rock Rd, Benton, PA 17814-7948 | 2017-10-04 |
| 1073862843 | Elisha Dougherty | Pharmacist | 1004 Big Bear Hwy, Benton, KY 42025 | 2012-09-07 |
| 1578869228 | James Richard Mccollum | Pharmacist | 1102 N Maple St, Benton, IL 62812-1034 | 2011-01-27 |
| Find all providers in BENTON | ||||
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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.