LEANN DALLAS (NPI# 1538108477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538108477 |
| Entity Type | Individual |
| Full Name | LEANN DALLAS |
| Credential | PHARMD |
| Practice Address |
411 Falls Blvd S Wynne AR 72396-3501 |
| Mailing Address |
1006 Oakwood Dr Wynne AR 72396-1802 |
| Practice Telephone | 8702388511 |
| Mailing Telephone | 8702384465 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PD08324 | AR | Pharmacy Service Providers |
| Street Address |
411 FALLS BLVD S |
| City | WYNNE |
| State | AR |
| Zip Code | 72396-3501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184625402 | Richard Eugene Boeckmann | Pharmacist | 411 Falls Blvd S, Wynne, AR 72396-3501 | 2005-08-09 |
| 1720695604 | Heather Hamm | Nurse Practitioner | 411 Falls Blvd S, Wynne, AR 72396-3501 | 2020-09-25 |
| 1649888413 | Ashley Duncan | Nurse Practitioner | 411 Falls Blvd S, Wynne, AR 72396-3501 | 2020-07-17 |
| 1932623360 | Candis Nicole Adams | Nurse Practitioner | 411 Falls Blvd S, Wynne, AR 72396-3501 | 2017-07-27 |
| 1295989176 | Stacy E Boeckmann | Pharmacist | 411 Falls Blvd S, Wynne, AR 72396 | 2008-11-05 |
| 1639368731 | Michelle Frances Chapman | Contractor | 411 Falls Blvd S, Wynne, AR 72396-3501 | 2007-10-15 |
| 1972658771 | James R Jacobs | Family Medicine | 411 Falls Blvd S, Wynne, AR 72396-3501 | 2007-01-24 |
| 1780667618 | Dr Hayes Young & Jacobs Ltd | Family Medicine | 411 Falls Blvd S, Wynne, AR 72396-3501 | 2005-11-23 |
| 1508859737 | Wynne Apothecary Inc | Pharmacy | 411 Falls Blvd S, Wynne, AR 72396-3501 | 2005-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962918813 | David Makool | Occupational Therapy Assistant | 2000 Gogbill Road, Wynne, AR 72396 | 2017-12-14 |
| 1912425554 | Barbara Ann Burgess | Case Manager/Care Coordinator | 661 Addison, Wynne, AR 72396 | 2017-09-05 |
| 1518481308 | Tyler Leigh Shumard | Physical Therapy Assistant | 128 County Road 145, Wynne, AR 72396 | 2017-08-02 |
| 1588957476 | Northeast Arkansas Community Mental Health Center | Counselor | 661 Addison Dr., Wynne, AR 72396 | 2011-05-25 |
| 1417106493 | Katherine Danielle Calhoun | Dietitian, Registered | 1013 Bridges Ave East, Wynne, AR 72396 | 2008-09-15 |
| 1053531319 | George Scott Puryear, Dds, Pa | Dentist | 715 East Eldrdige Avenue, Wynne, AR 72396 | 2007-04-27 |
| 1730245465 | Marilyn J Cullum | Counselor | 1742 Falls Blvd. Suite 5, The Logan Center, Wynne, AR 72396 | 2006-12-28 |
| 1770655185 | Robert Walton Bassham | Dentist | 669 Addison Drive, Wynne, AR 72396 | 2006-11-14 |
| 1073683827 | George Scott Puryear Jr. | Dentist | 715 E. Eldridge Ave, Wynne, AR 72396 | 2006-11-09 |
| 1194809517 | Richard Keeter Toland | Dentist | 2100 North Killough, Wynne, AR 72396 | 2006-10-24 |
| Find all providers in zip 72396 | ||||
| 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 |
|---|---|---|---|---|
| 1790386316 | Chintan Patel | Pharmacist | 800 Highway 64, Wynne, AR 72396-7408 | 2020-11-02 |
| 1831100627 | Stephanie Goodart O'neal | Pharmacist | 718 S Falls Blvd, Wynne, AR 72396-0757 | 2006-08-10 |
| 1184625402 | Richard Eugene Boeckmann | Pharmacist | 411 Falls Blvd S, Wynne, AR 72396-3501 | 2005-08-09 |
| 1285235853 | Allisyn Stroupe | Pharmacist | 800 Highway 64 E, Wynne, AR 72396-7414 | 2020-11-02 |
| 1588272942 | James Connor Reed | Pharmacist | 804 Falls Blvd S, Wynne, AR 72396-3505 | 2020-07-21 |
| 1750806220 | Jasmine Marie Tagupa Lorick | Pharmacist | 804 Falls Blvd S, Wynne, AR 72396-3505 | 2017-08-07 |
| 1609321306 | Nora Martin | Pharmacist | 804 Falls Blvd S, Wynne, AR 72396-3505 | 2016-08-23 |
| 1013353366 | Lauren Rebecca Roach | Pharmacist | 804 Falls Blvd S, Wynne, AR 72396-3505 | 2013-05-14 |
| 1538443551 | Max A Caldwell | Pharmacist | 804 Falls Blvd S, Wynne, AR 72396-3505 | 2011-10-10 |
| 1326349028 | Kara Hardin Smith | Pharmacist | 800 Highway 64 E, Wynne, AR 72396 | 2010-11-11 |
| Find all providers in WYNNE | ||||
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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.