DR. TARA MANGOLD (NPI# 1558962381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558962381 |
| Entity Type | Individual |
| Full Name | DR. TARA MANGOLD |
| Credential | PHARMD |
| Practice Address |
1415 Highway 67 S Pocahontas AR 72455-4000 |
| Mailing Address |
526 Southwind Pocahontas AR 72455-9116 |
| Practice Telephone | 8708924441 |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PD08348 | AR | Pharmacy Service Providers |
| Street Address |
1415 HIGHWAY 67 S |
| City | POCAHONTAS |
| State | AR |
| Zip Code | 72455-4000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063439446 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1415 Highway 67 S, Pocahontas, AR 72455-4000 | 2006-07-16 |
| 1811598642 | Lisa N Wilson | Pharmacist | 1415 Highway 67 S, Pocahontas, AR 72455-4000 | 2020-11-06 |
| 1972104701 | Amy Lynn Howell | Pharmacist | 1415 Highway 67 S, Pocahontas, AR 72455-4000 | 2020-11-06 |
| 1811259666 | Hollie Mcdowell | Pharmacist | 1415 Highway 67 S, Pocahontas, AR 72455-4000 | 2012-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043694920 | Puckett Dental LLC | Clinic/Center | 1041 Highway 67 North, Pocahontas, AR 72455 | 2015-07-10 |
| 1659676443 | Higginbotham Therapy Providers LLC | Speech-Language Pathologist | 42 Helter Rd, Pocahontas, AR 72455 | 2011-01-25 |
| 1083846059 | Amber Dawn Hudson | Speech-Language Pathologist | 84 Woodland Hill Circle, Pocahontas, AR 72455 | 2009-08-10 |
| 1174752125 | Sara Jocelyn Hubbell | Developmental Therapist | 410 Camp Road, Pocahontas, AR 72455 | 2009-07-13 |
| 1730332511 | Holly T Brigance | Nurse Practitioner | 2901 Medical Center Drive, Pocahontas, AR 72455 | 2008-10-24 |
| 1255598983 | Ashley Erin Taylor | Registered Nurse | 2018 Highway 67 S, Pocahontas, AR 72455 | 2008-05-20 |
| 1740405661 | Leslie Marie Malone | Speech-Language Pathologist | 2300 North Park St., Pocahontas, AR 72455 | 2007-04-16 |
| 1942354808 | D Mike Mcdaniel | Audiologist | 153 Country Club Road, Pocahontas, AR 72455 | 2007-01-22 |
| 1366518615 | University of Arkansas for Medical Sciences | Pediatrics | 300 Camp Rd, Pocahontas, AR 72455 | 2006-11-28 |
| 1275623035 | Families, Inc. of Arkansas | Counselor | 2305 Old County Road, Pocahontas, AR 72455 | 2006-10-13 |
| Find all providers in zip 72455 | ||||
| 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 |
|---|---|---|---|---|
| 1760866313 | Blair Thielemier | Pharmacist | 4694 Highway 62 W, Pocahontas, AR 72455-8918 | 2015-07-14 |
| 1811598642 | Lisa N Wilson | Pharmacist | 1415 Highway 67 S, Pocahontas, AR 72455-4000 | 2020-11-06 |
| 1972104701 | Amy Lynn Howell | Pharmacist | 1415 Highway 67 S, Pocahontas, AR 72455-4000 | 2020-11-06 |
| 1336701721 | Misty Ronette Duckworth | Pharmacist | 115 E Broadway St, Pocahontas, AR 72455-3498 | 2019-07-05 |
| 1508273442 | Rachel Poppen | Pharmacist | 701 W Elm Ave, Pocahontas, IA 50574-1439 | 2014-07-11 |
| 1811259666 | Hollie Mcdowell | Pharmacist | 1415 Highway 67 S, Pocahontas, AR 72455-4000 | 2012-06-07 |
| 1497983431 | Matthew W Farndale | Pharmacist | 701 W Elm Ave, Pocahontas, IA 50574-1439 | 2009-06-29 |
| 1558402511 | Pat Douglas Sturtz | Pharmacist | 701 W Elm Ave, Pocahontas, IA 50574-1439 | 2007-02-10 |
| 1962508002 | Kimberly Denice O'neill | Pharmacist | 115 E Broadway St, Pocahontas, AR 72455-3402 | 2006-09-16 |
| 1013013135 | Jeffrey Mark Futrell | Pharmacist | 115 E Broadway St, Pocahontas, AR 72455-3402 | 2006-09-16 |
| Find all providers in POCAHONTAS | ||||
| City | POCAHONTAS |
| Zip Code | 72455 |
Please comment or provide details below to improve the information on DR. TARA MANGOLD.
| 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.