JOHN R TIPTON III (NPI# 1386913010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386913010 |
| Entity Type | Individual |
| Full Name | JOHN R TIPTON III |
| Credential | RPH |
| Practice Address |
308 S Main St Malvern AR 72104-3737 |
| Practice Telephone | 5014678197 |
| Mailing Telephone | 5014678197 |
| Enumeration Date | 2011-12-27 |
| Last Update Date | 2011-12-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
06230 | AR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316937220 | John W Tipton | Family Medicine | 1111 S Saint Louis Ave, Tulsa, OK 74120-5440 | 2005-10-24 |
| 1578780201 | John Sison Tipton | Family Medicine | 611 N Lindsay St, Suite 200, High Point, NC 27262-4300 | 2007-04-20 |
| Street Address |
308 S MAIN ST |
| City | MALVERN |
| State | AR |
| Zip Code | 72104-3737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528670361 | William Lee Wallace | Pharmacist | 308 S Main St, Malvern, AR 72104-3737 | 2020-08-22 |
| 1255943619 | Jamelyn Landes | Pharmacist | 308 S Main St, Malvern, AR 72104-3737 | 2020-08-18 |
| 1043650005 | Amber Elizabeth Prescott | Pharmacist | 308 S Main St, Malvern, AR 72104-3737 | 2013-07-04 |
| 1871847095 | Ray B Harrison | Pharmacist | 308 S Main St, Malvern, AR 72104-3737 | 2012-11-09 |
| 1376820126 | Holly Hibbs | Pharmacist | 308 S Main St, Malvern, AR 72104-3737 | 2011-11-08 |
| 1154607224 | Walgreens | Pharmacy | 308 S Main St, Malvern, AR 72104-3737 | 2011-11-02 |
| 1679859375 | Ronald Lynn Headley | Pharmacist | 308 S Main St, Malvern, AR 72104-3737 | 2011-10-25 |
| 1124198221 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 308 S Main St, Malvern, AR 72104-3737 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659907707 | Terrence Randell Mitchell | Prosthetist | 991 Mount Willow Rd., Malvern, AR 72104 | 2020-03-20 |
| 1356837959 | American Oncology Partners, P.a. | Internal Medicine | 1001 Schneider Dr Ste 105, Malvern, AR 72104 | 2018-07-06 |
| 1114262839 | Charloda Nolen | Case Manager/Care Coordinator | 1710 E Page, Malvern, AR 72104 | 2012-12-06 |
| 1427349257 | Malvern Physical Therapy and Wellness | Physical Therapist | 1601 Hwy 270 W, Suite 104, Malvern, AR 72104 | 2011-04-27 |
| 1194037069 | Alternative Opportunities | Community/Behavioral Health | 1519 East Page Avenue, Malvern, AR 72104 | 2010-07-08 |
| 1285878991 | Pro-active Rehab Inc. | Physical Therapist | 720 Walco Rd, Suite 240, Malvern, AR 72104 | 2009-04-24 |
| 1932380599 | Vallerie Ahart | Licensed Practical Nurse | 1022 East Page, Malvern, AR 72104 | 2007-11-23 |
| 1104013598 | Vivian Brown | Home Health Aide | 913 Magnolia, Malvern, AR 72104 | 2007-09-28 |
| 1467665919 | Annette Jean Bowersox | Registered Nurse | 1399 Jenny Road, Malvern, AK 72104 | 2007-05-08 |
| 1730305798 | Jacqueline Kilgore LLC | Skilled Nursing Facility | 912 Section Line St, Malvern, AR 72104 | 2007-04-18 |
| Find all providers in zip 72104 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316346588 | Jennifer Welch | Pharmacist | 75 Valley Stream Pkwy, Malvern, PA 19355-1406 | 2014-08-13 |
| 1891054433 | Kathleen Metz | Pharmacist | 4 Spring Mill Dr, Malvern, PA 19355-1200 | 2012-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235755497 | Shannon Mcelroy | Pharmacist | 300 I-40 Service Rd, West Memphis, AR 72301 | 2020-06-23 |
| 1306485545 | Ryan Adams | Pharmacist | 20820 I-30 North, Benton, AR 72019 | 2020-01-06 |
| 1982243655 | Amanda Reynolds | Pharmacist | 6929 Jfk Blvd Ste 5, North Little Rock, AR 72116-5397 | 2019-12-30 |
| 1336788074 | Melissa Ann Vail | Pharmacist | 6929 John F Kennedy Blvd Ste 5, North Little Rock, AR 72116-5397 | 2019-12-28 |
| 1174161475 | Mary Williams | Pharmacist | 300 I-40 Service Road, West Memphis, AR 72301 | 2019-12-17 |
| 1215575964 | Jill Madonia Frazier | Pharmacist | 2 Coffee Pot Ln, Little Rock, AR 72202-1624 | 2019-12-12 |
| 1851938732 | Jerald Christopher Hailey | Pharmacist | 8415 W Markham St Ste B, Little Rock, AR 72205-2496 | 2019-12-10 |
| 1184261174 | Ashley Nicole Norton | Pharmacist | 4403 Camp Robinson Rd Ste A, North Little Rock, AR 72118-3699 | 2019-12-09 |
| 1205344678 | Whitney Woodward Campbell | Pharmacist | 1848 W Main St, Cabot, AR 72023-2745 | 2018-01-18 |
| 1659807691 | Janna Hawthorne | Pharmacist | 900 S Shackleford Rd Ste 501, Little Rock, AR 72211-3847 | 2017-05-11 |
| 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.