JASEN CREEK (NPI# 1477958155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477958155 |
| Entity Type | Individual |
| Full Name | JASEN CREEK |
| Credential | PD |
| Practice Address |
1430 W 1st St N Prescott AR 71857-3339 |
| Mailing Address |
Po Box 524 Arkadelphia AR 71923-0524 |
| Practice Telephone | 8708876664 |
| Practice Fax Number | 8708872968 |
| Mailing Telephone | 8702465553 |
| Mailing Fax Number | 8702451790 |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2014-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PD08834 | AR | Pharmacy Service Providers |
| Street Address |
1430 W 1ST ST N |
| City | PRESCOTT |
| State | AR |
| Zip Code | 71857-3339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528064367 | Super D Drug Acquisition Co. | Pharmacy | 1430 W 1st St N, Prescott, AR 71857-3339 | 2005-06-27 |
| 1326443573 | Wpm Community Pharmacies, LLC | Pharmacy | 1430 W 1st St N, Prescott, AR 71857-3339 | 2014-10-30 |
| 1992875074 | Wpm Community Pharmacies LLC | Pharmacy | 1430 W 1st St N, Prescott, AR 71857-3339 | 2006-11-08 |
| 1841286952 | Gary Lee Lewis | Pharmacist | 1430 W 1st St N, Prescott, AR 71857-3339 | 2005-09-23 |
| 1245226224 | Holiday Ross | Pharmacist | 1430 W 1st St N, Prescott, AR 71857-3339 | 2005-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598915514 | Southwest Arkansas Counseling and Mental Health Center, Inc | Community/Behavioral Health | 1658 Highway 371 West, Prescott, AR 71857 | 2008-09-26 |
| 1366607897 | Texarkana Behavioral Associates | Clinic/Center | 1484 West 1st Street, North, Prescott, AR 71857 | 2008-07-24 |
| 1295949238 | Pnc, Inc. | Day Training, Developmentally Disabled Services | 504 East 4th St North, Prescott, AR 71857 | 2007-05-09 |
| 1659597698 | Charles Vermont, M.d., Pllc | Family Medicine | 1480 West First North, Prescott, AR 71857 | 2007-04-18 |
| 1255464699 | Donisha Lafae Samuels | Case Manager/Care Coordinator | 1658 Hwy 371 W, Prescott, AR 71857 | 2007-03-14 |
| 1699856278 | Audie M Teague O D P A | Optometrist | 204 E 2nd Sreet S, Prescott, AR 71857 | 2006-10-18 |
| 1154411379 | Michele Rhodes | Nurse Practitioner | 1501 West First Street, Ark Department of Health and Human Services, Prescott, AR 71857 | 2006-10-16 |
| 1821185091 | Audie M. Teague | Optometrist | 204 E 2nd Street S, Prescott, AR 71857 | 2006-10-06 |
| 1760402804 | Mary Lou Kaufman | Licensed Practical Nurse | 1658 Hyw 371 West, Prescott, AR 71857 | 2006-07-20 |
| 1073532388 | Cindie Dianne Mckamie | Registered Nurse | 1658 Hwy 371 West, Prescott, AR 71857 | 2006-07-18 |
| Find all providers in zip 71857 | ||||
| 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 |
|---|---|---|---|---|
| 1760937759 | Courtney Edel | Pharmacist | 901 Willow Lake Rd, Prescott, AZ 86301-4617 | 2016-08-18 |
| 1215303862 | Sonja Dutch | Pharmacist | 1211 Squirrel Run, Prescott, AZ 86303-6444 | 2015-08-18 |
| 1104221423 | Jayson Robertson | Pharmacist | 1151 W Iron Springs Rd Ste D, Prescott, AZ 86305-1614 | 2014-10-29 |
| 1699174490 | Diane Rindone | Pharmacist | 1547 Marvin Gardens Ln, Prescott, AZ 86301-5530 | 2014-08-18 |
| 1548679988 | Lance Sandleben | Pharmacist | 222 Grace Ave, Prescott, AZ 86303-3439 | 2014-08-11 |
| 1336558683 | Emily Gunnerson | Pharmacist | 3050 E State Route 69, Prescott, AZ 86301-6743 | 2014-08-11 |
| 1184048381 | Nathan C Crow | Pharmacist | 3050 N Highway 69, Prescott, AZ 86301-9708 | 2014-02-07 |
| 1083054340 | Zachariah J Davis | Pharmacist | 1573 Sierry Peaks Dr Unit A, Prescott, AZ 86305-2153 | 2013-07-01 |
| 1275812786 | Allison Kreutzberg | Pharmacist | 178 E Sheldon, Prescott, AZ 86301 | 2011-08-15 |
| 1588965859 | Antonella Sola | Pharmacist | 518 Westwood Dr, Prescott, AZ 86303-3436 | 2010-11-03 |
| Find all providers in PRESCOTT | ||||
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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.