WALTON FRANK THERRELL (NPI# 1376976845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376976845 |
| Entity Type | Individual |
| Full Name | WALTON FRANK THERRELL |
| Credential | R.PH. |
| Practice Address |
915 Hill St Ellisville MS 39437-2419 |
| Practice Telephone | 6014773573 |
| Mailing Telephone | 6014773573 |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2013-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | E6418 | MS | Pharmacy Service Providers |
| Street Address |
915 HILL ST |
| City | ELLISVILLE |
| State | MS |
| Zip Code | 39437-2419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396829438 | Ellisville Drug Acquisition Co. | Pharmacy | 915 Hill St, Ellisville, MS 39437-2419 | 2006-10-25 |
| 1154935765 | Randall Lavelle Camp | Pharmacist | 915 Hill St, Ellisville, MS 39437-2419 | 2020-09-01 |
| 1598199986 | Frank Calvin Therrell | Pharmacist | 915 Hill St, Ellisville, MS 39437-2419 | 2013-08-21 |
| 1144576182 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 915 Hill St, Ellisville, MS 39437-2419 | 2012-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227759 | Courtney J. Sims | Nurse Practitioner | 80 Hal Crocker Road, Ellisville, MS 39437 | 2020-02-19 |
| 1891228581 | Magnolia Gardens Assisted Living | Assisted Living Facility | 303 East Ivy, Ellisville, MS 39437 | 2017-04-10 |
| 1972851814 | Dental Group of Ellisville, Pllc | Dentist | 97 Hal Crocker Road, Ellisville, MS 39437 | 2012-08-27 |
| 1891920518 | Amy E Young | Speech-Language Pathologist | 471 Hwy 590, Ellisville, MS 39437 | 2009-05-26 |
| 1053486852 | Natalia Angelia Stevenson | Nurse Practitioner | Ellisville State School, 1101 Hwy 11 South, Ellisville, MS 39437 | 2006-11-21 |
| 1831275189 | Womens Pavilion of South Mississippi, Pllc | Obstetrics & Gynecology | 1242 Hwy 29 North, Ellisville, MS 39437 | 2006-10-30 |
| 1861578635 | Jennifer Reeder Mascagni | Nurse Practitioner | 1203 Ave B Ste 200, Ellisville, MS 39437 | 2006-10-27 |
| 1851499982 | Kathleen Frances Mccoy | Physical Therapist | 1101 Hwy 11 South, Ellisville, MS 39437 | 2006-09-20 |
| 1861498610 | Patricia A. Tibbs | Pediatrics | 1203 Avenue B, Ellisville, MS 39437 | 2005-06-27 |
| 1700954765 | Shelia Dianne Bradford | Nurse Practitioner | 1203 Avenue B, Ellisville, MS 39437 | 2006-11-30 |
| Find all providers in zip 39437 | ||||
| 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 |
|---|---|---|---|---|
| 1366789083 | Sharon K Worrell | Pharmacist | 1654 Clayton Spur Ct, Ellisville, MO 63011-2012 | 2013-01-15 |
| 1376890939 | Phillip D Worrell | Pharmacist | 130 Clarkson Executive Park, Suite D, Ellisville, MO 63011-2179 | 2012-08-13 |
| 1669794517 | Andrea Baker | Pharmacist | 15909 Manchester Rd, Ellisville, MO 63011-2101 | 2010-02-19 |
| 1790849164 | Don's Professional Drugs | Pharmacist | 109 W Ivy St, Ellisville, MS 39437-2637 | 2006-12-20 |
| 1316046402 | Nikki R Walters | Pharmacist | 122 S Front St, Ellisville, MS 39437-3118 | 2006-09-22 |
| 1215542089 | Hawa Awad | Pharmacist | 16105 Manchester Rd, Ellisville, MO 63011-2001 | 2020-09-09 |
| 1154935765 | Randall Lavelle Camp | Pharmacist | 915 Hill St, Ellisville, MS 39437-2419 | 2020-09-01 |
| 1124630959 | Cortney Renae Robinson | Pharmacist | 16105 Manchester Rd, Ellisville, MO 63011-2001 | 2020-08-22 |
| 1285246298 | Sheelan Baban | Pharmacist | 16105 Manchester Rd, Ellisville, MO 63011-2001 | 2020-08-20 |
| 1538771589 | Christen Lehmann | Pharmacist | 16105 Manchester Rd, Ellisville, MO 63011-2001 | 2020-08-20 |
| Find all providers in ELLISVILLE | ||||
| City | ELLISVILLE |
| Zip Code | 39437 |
Please comment or provide details below to improve the information on WALTON FRANK THERRELL.
| 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.