DR. SALLY LYNN EZELL


Address: 4007 N Shiloh Dr, Fayetteville, AR 72703-5300
Phone: 4794424756

DR. SALLY LYNN EZELL (NPI# 1386927168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386927168
Entity Type Individual
Full Name DR. SALLY LYNN EZELL
Practice Address 4007 N Shiloh Dr
Fayetteville
AR 72703-5300
Practice Telephone 4794424756
Mailing Telephone 4794424756
Enumeration Date 2011-09-27
Last Update Date 2011-09-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist PD11400 AR Pharmacy Service Providers

Office Location

Street Address 4007 N SHILOH DR
City FAYETTEVILLE
State AR
Zip Code 72703-5300

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215943964 Walgreen Co Durable Medical Equipment & Medical Supplies 4007 N Shiloh Dr, Fayetteville, AR 72703-5300 2006-08-01
1265044515 Javier Moreno Pharmacist 4007 N Shiloh Dr, Fayetteville, AR 72703-5300 2020-08-18
1336425024 Amanda Kay Giuttari Pharmacist 4007 N Shiloh Dr, Fayetteville, AR 72703-5300 2011-10-26
1124309133 Ann Morningstar Pharmacist 4007 N Shiloh Dr, Fayetteville, AR 72703-5300 2011-09-02
1598046799 Tommy Ernest Walker Pharmacist 4007 N Shiloh Dr, Fayetteville, AR 72703-5300 2011-08-31
1033499686 Janelle Lanee Douglas Pharmacist 4007 N Shiloh Dr, Fayetteville, AR 72703-5300 2011-08-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477154391 Margaret Sorrells Pharmacist 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 2020-11-06
1497369631 Justin A Rand Massage Therapist 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 2020-09-04
1235777558 Washington Regional Medical System Specialist 3264 N North Hills Blvd, Fayetteville, AR 72703 2019-12-17
1760024582 Haley Brooke Thompson Occupational Therapist 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 2019-10-14
1306492129 Bhg L, LLC Clinic/Center 8 Colt Square Drive, Fayetteville, AR 72703 2019-08-16
1306406269 Idell Marie Mitchell Optometrist Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 2019-06-13
1821574815 Toni Myer Nurse Practitioner 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 2018-07-13
1306340393 Josh Kelfer Student in an Organized Health Care Education/Training Program 1125 North College Avenue, Fayetteville, AR 72703 2018-03-22
1649726449 Vantage Point of Nwa Community/Behavioral Health 4171 N. Crossover Rd, Fayetteville, AR 72703 2016-08-31
1386097137 Jason Nordstrom Speech-Language Pathologist 2664 N Valencia Ave, Fayetteville, AR 72703 2016-07-18
Find all providers in zip 72703

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477154391 Margaret Sorrells Pharmacist 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 2020-11-06
1710587605 Jordan Tyler Reed Pharmacist 2875 W Mlk Blvd, Fayetteville, AR 72704-7625 2020-10-29
1891395901 Todd Johnson Pharmacist 660 W Mlk Blvd, Fayetteville, AR 72701-6443 2020-10-28
1669087953 Elton Wayne Long Pharmacist 5106 Nc Highway 87 S Ste 100, Fayetteville, NC 28306-3424 2020-09-13
1013539501 Lauren Lockhart Pharmacist 5106 Nc-87 #100, Fayetteville, NC 28306 2020-05-07
1548892268 Kimberly Gardner Pharmacist 4205 Ferncreek Dr, Fayetteville, NC 28314-2537 2020-02-11
1326685249 Belinda Diane Abrams Pharmacist 175 Jacob Ct, Fayetteville, GA 30214-7541 2019-12-10
1699332098 Kyndra Williams Pharmacist 101 Robeson St Ste 101, Fayetteville, NC 28301-5552 2019-05-22
1235610098 Debra W Nichol Pharmacist 217 W Maple Ave # 2, Fayetteville, WV 25840-1413 2018-08-28
1093293607 Allyson Holland Pharmacist 880 Highway 85 South, Fayetteville, GA 30214 2018-08-06
Find all providers in FAYETTEVILLE

Competitor

Search similar providers

City FAYETTEVILLE
Zip Code 72703

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Dataset Information

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.

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