MID-SOUTH HEALTH SYSTEMS PHARMACY (NPI# 1548301344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548301344 |
| Entity Type | Organization |
| Organization Name | MID-SOUTH HEALTH SYSTEMS PHARMACY |
| Practice Address |
2707 Browns Ln Jonesboro AR 72401-7213 |
| Practice Telephone | 8709724000 |
| Mailing Telephone | 8709724000 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-02-17 |
| Authorized Official Name | CARLA PRATT (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 8709724016 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | NABP | 0419968 | 01 |
| AR | 148338407 | 05 |
| Street Address |
2707 BROWNS LN |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-7213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669447702 | Jyothsna Kumar | Psychiatry & Neurology | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2006-02-22 |
| 1043823552 | Sheila Mckenzie | Behavior Technician | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2020-08-25 |
| 1245841592 | Skyler Prunty | Behavior Technician | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2020-08-11 |
| 1053922302 | Matheu Turner | Behavior Technician | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2020-08-11 |
| 1245841576 | Tatyana Barber | Behavior Technician | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2020-08-11 |
| 1124643903 | Grace Williams | Behavior Technician | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2020-06-08 |
| 1679106231 | Arthur Paul Bruce | Case Manager/Care Coordinator | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2020-02-21 |
| 1619500139 | Antonio Carlos De Almeida Dos Santos | Case Manager/Care Coordinator | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2020-02-13 |
| 1518599091 | Marcie L Tuggle | Nurse Practitioner | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2020-02-12 |
| 1215568522 | Jessica Aubrie Dacus | Case Manager/Care Coordinator | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2020-01-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265587901 | Reff Drugs Inc | Pharmacy | 188 Upper Riverdale Rd, #c, Jonesboro, GA 30236-1108 | 2007-01-24 |
| 1164062667 | Mitchells Pharmacy Inc | Pharmacy | 202 E Main St, Jonesboro, LA 71251-3202 | 2020-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841841715 | Village Apothecary Inc | Pharmacy | 24615 Highway 5, Lonsdale, AR 72087-8017 | 2019-09-23 |
| 1104484971 | Austin Gilbreath | Pharmacy | 970d Ash Flat Dr, Ash Flat, AR 72513-9533 | 2019-06-05 |
| 1295291441 | Health Depot Pharmacies, LLC | Pharmacy | 1610 Fort St, Barling, AR 72923-2018 | 2019-02-13 |
| 1417458829 | Paragon Pharmacy, LLC | Pharmacy | 14524 Cantrell Rd Ste 100a, Little Rock, AR 72223-4700 | 2018-02-22 |
| 1619326881 | Wagner Drugs, Inc. | Pharmacy | 744 Hwy 270 East, Mount Ida, AR 71957 | 2016-06-08 |
| 1669826954 | Caeb Investments Inc. | Pharmacy | 11200 Arch Street, Little Rock, AR 72206 | 2016-04-22 |
| 1215349667 | Midsouth Medical Specialties, LLC | Pharmacy | 5500 Central Avenue, Hot Springs, AR 71913 | 2014-05-20 |
| 1942645569 | Warmack Pharmacies,inc. | Pharmacy | 300 Pine Street, Rison, AR 71665 | 2013-05-09 |
| 1588972418 | Allied Health Services LLC | Pharmacy | 600 N Main St Ste C, Melbourne, AR 72556-0769 | 2010-09-14 |
| 1457565400 | Professional Pharmacy | Pharmacy | 1515 N. Medical Drive, Stuttgart, AR 72160 | 2007-05-09 |
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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.