MR. JEREMY EDWARD MCDONALD (NPI# 1619210432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619210432 |
| Entity Type | Individual |
| Full Name | MR. JEREMY EDWARD MCDONALD |
| Practice Address |
500 S University Ave Suite 102 Little Rock AR 72205-5302 |
| Practice Telephone | 5016644121 |
| Practice Fax Number | 5016619831 |
| Mailing Telephone | 5016644121 |
| Mailing Fax Number | 5016619831 |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2013-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PD08679 | AR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063957058 | Jeremy Todd Mcdonald | Pharmacist | 509 State St, Augusta, KS 67010-1107 | 2016-12-29 |
| Street Address |
500 S UNIVERSITY AVE SUITE 102 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-5302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083618318 | Tammy Lea Dunn | Specialist | 500 S University Ave, Ste 606, Little Rock, AR 72205-5342 | 2005-05-31 |
| 1043843915 | Jeff Pinto | Nurse Practitioner | 500 S University Ave, Little Rock, AR 72205-5302 | 2020-02-19 |
| 1821534835 | Brittney Denell Lisenbey | Nurse Practitioner | 500 S University Ave, Suite 515, Little Rock, AR 72205-5302 | 2017-01-13 |
| 1245687029 | Arkansas Breast Surgery Corp. | Surgery | 500 S University Ave, Suite 219, Little Rock, AR 72205-5302 | 2016-05-20 |
| 1497128722 | Alexandra Blue Gonzalez | Physician Assistant | 500 S University Ave, Little Rock Dermatology Clinic Suite 301, Little Rock, AR 72205-5302 | 2015-11-09 |
| 1609251842 | Pediatric Physicians Group, Pllc | Pediatrics | 500 S University Ave, Suite 200, Little Rock, AR 72205-5302 | 2015-07-29 |
| 1609260157 | Gabriel M Peal M.d,.,pa | Specialist | 500 S University Ave, Suite 221, Little Rock, AR 72205-5302 | 2015-03-23 |
| 1376947804 | Blood and Cancer Institute of Little Rock | Clinical Medical Laboratory | 500 S University Ave, Suite 808, Little Rock, AR 72205-5302 | 2014-10-13 |
| 1457765182 | Jena Gray | Registered Nurse | 500 S University Ave, Suite 505, Little Rock, AR 72205-5302 | 2014-06-20 |
| 1952723397 | Jesse Davis | Registered Nurse | 500 S University Ave, Ste 505, Little Rock, AR 72205-5302 | 2014-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| 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 |
|---|---|---|---|---|
| 1588203236 | Amanda Jill Dixon | Pharmacist | 1800 Riverfront Dr, Little Rock, AR 72202-1882 | 2019-12-29 |
| 1952949471 | Tony Wayne Wilson | Pharmacist | 4409 Stone Creek Cv, Little Rock, AR 72210-4954 | 2019-12-16 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1386280691 | Baptist Health | Pharmacist | 9600 Baptist Health Dr Ste 260, Little Rock, AR 72205-6373 | 2019-11-21 |
| 1851944698 | Rachael Lynette Perkins | Pharmacist | 4301 Atwood Rd, Little Rock, AR 72206 | 2019-07-22 |
| 1255998514 | Gene Peter Dalton Herzig | Pharmacist | 904 Autumn Rd Ste 275, Little Rock, AR 72211-3745 | 2019-05-22 |
| 1366901191 | Nicholas Marks Grunewald | Pharmacist | 210 Congressional Cir, Little Rock, AR 72210-2832 | 2019-03-19 |
| 1073081196 | Carlettee Stephens Seng | Pharmacist | 53 Flintwood Dr, Little Rock, AR 72227-5855 | 2018-11-06 |
| 1720576994 | Corey Hayes | Pharmacist | 4301 W Markham St # 755, Little Rock, AR 72205-7101 | 2018-04-24 |
| 1427577436 | Susan Amanda Schee | Pharmacist | 15400 Chenal Pkwy Ste 100, Little Rock, AR 72211-2016 | 2017-09-12 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
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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.