DR. CHARLES TYLER STATEN (NPI# 1548756208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548756208 |
| Entity Type | Individual |
| Full Name | DR. CHARLES TYLER STATEN |
| Credential | PHARMD |
| Practice Address |
101 N Main St Warren AR 71671-2714 |
| Practice Telephone | 8702263751 |
| Mailing Telephone | 8702263751 |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2018-07-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PD12799 | AR | Pharmacy Service Providers |
| Street Address |
101 N MAIN ST |
| City | WARREN |
| State | AR |
| Zip Code | 71671-2714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023423423 | Mvp Warren LLC | Pharmacy | 101 N Main St, Warren, AR 71671-2714 | 2014-06-24 |
| 1285778605 | Gannaway Drug Store Inc | Pharmacist | 101 N Main St, Warren, AR 71671-2714 | 2007-02-18 |
| 1275677692 | Ralph Edward O'neal | Pharmacist | 101 N Main St, Warren, AR 71671-2714 | 2007-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992116396 | Bradley Newton Biggers | Family Medicine | 304 E Central St., Warren, AR 71671 | 2014-05-19 |
| 1558602003 | Kelley M Hollingsworth | Licensed Practical Nurse | 1404 East Church Street, Warren, AR 71671 | 2013-03-08 |
| 1245516228 | Lauren Lynch | Pharmacist | 507 W Pine, Warren, AR 71671 | 2011-10-22 |
| 1114237062 | Gary Maskell | Chiropractor | 210 East Shields Street, Warren, AR 71671 | 2010-10-13 |
| 1841442811 | Wagnon Place Health Facilities | Skilled Nursing Facility | 1440 East Church Street, Warren, AR 71671 | 2008-10-21 |
| 1104953629 | Kathryn Kelly Cash | Speech-Language Pathologist | 206 Bragg St., Warren, AR 71671 | 2007-02-28 |
| 1477628352 | University of Arkansas for Medical Sciences | Pediatrics | 222 E Central St, Warren, AR 71671 | 2006-11-23 |
| 1649383514 | Karen Walker | Social Worker | 1404 E Church, Warren, AR 71671 | 2006-08-16 |
| 1699705178 | Rosemary Bell | Licensed Practical Nurse | 1404 E Church St, Warren, AR 71671 | 2006-07-03 |
| 1992348551 | Charles C Gibson | Case Manager/Care Coordinator | 1404 E Church St, Warren, AR 71671 | 2019-10-25 |
| Find all providers in zip 71671 | ||||
| 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 |
|---|---|---|---|---|
| 1063024081 | Abdallah Hijazi | Pharmacist | 31241 Moulin Ave, Warren, MI 48088-7028 | 2020-08-20 |
| 1134755580 | Matthew Gordon Mctaggart | Pharmacist | 24886 Chalk Farm Rd W, Warren, MI 48091-5869 | 2020-03-18 |
| 1477184414 | Delaine Armstong | Pharmacist | 13488 E. 11 Mile Road, Warren, MI 48089 | 2020-01-29 |
| 1750893160 | Ramzi Kassem | Pharmacist | 25141 Hoover Rd, Warren, MI 48089-1145 | 2017-10-26 |
| 1043738552 | Razur Rahman | Pharmacist | 30050 Hoover Rd Ste G, Warren, MI 48093-2544 | 2017-09-05 |
| 1679014054 | Pamela M Lang | Pharmacist | 1977 Niles Rd S.e., Genoa A Qol Healthcare Company, Warren, OH 44484 | 2017-03-17 |
| 1003360934 | Lily Nobles | Pharmacist | 214 Liberty St, Warren, PA 16365-2304 | 2016-08-09 |
| 1659745891 | Miranda Eileen Buchowski | Pharmacist | 4110 E 9 Mile Rd, Warren, MI 48091-2501 | 2015-11-27 |
| 1356712368 | Richard Giannini | Pharmacist | 4 Lansing St, Warren, PA 16365-4601 | 2015-10-16 |
| 1841670544 | Melissa Nicole-elaine Bayci | Pharmacist | 11300 E 13 Mile Rd Ste 4a, Warren, MI 48093-2500 | 2015-06-08 |
| Find all providers in WARREN | ||||
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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.