MOODY PHARMACY (NPI# 1659369288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659369288 |
| Entity Type | Organization |
| Organization Name | MOODY PHARMACY |
| Practice Address |
234 S Fredrick Magnolia AR 71753-3703 |
| Practice Telephone | 8702346011 |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DONALD MICHAEL MOODY (PHARMACIST OWNER) |
| Authorized Official Telephone | 8702346011 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5475 | AR | Pharmacy Service Providers |
| Street Address |
234 S FREDRICK |
| City | MAGNOLIA |
| State | AR |
| Zip Code | 71753-3703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851939862 | Kylie Nokes | Occupational Therapy Assistant | 1403 High School Drive, Magnolia, AR 71753 | 2019-12-20 |
| 1225510266 | Douglas Palmer | Specialist/Technologist | 100 E University St, Magnolia, AR 71753 | 2018-09-06 |
| 1568940781 | Alyssa Scholl | Specialist/Technologist | Msc 8800, Magnolia, AR 71753 | 2018-07-31 |
| 1881141950 | Yuichi Takizawa | Specialist/Technologist | 2212 Lacari Dr., Fox Creek Apt #a1, Magnolia, AR 71753 | 2016-09-07 |
| 1609322981 | Stephen Baldwin Jr. | Specialist/Technologist | 100 E University Msc 9202, Magnolia, AR 71753 | 2016-08-28 |
| 1760830038 | Deborah Ellis | Developmental Therapist | 301 West Calhoun, Magnolia, ARKANSAS 71753 | 2016-05-27 |
| 1053720144 | Alaina Atkinson-murphy | Counselor | 1705 E North St, Magnolia, AR 71753 | 2014-08-04 |
| 1467701250 | Charles P Story | Physical Therapy Assistant | 191 E Columbia # 25, Magnolia, AR 71753 | 2012-09-07 |
| 1043565542 | Magnolia Surgery Center, LLC | Clinic/Center | 25 Columbia Road 47, Magnolia, AR 71753 | 2012-07-20 |
| 1427288232 | Emily Loftin | Physical Therapy Assistant | 310 West Calhoun Road, Magnolia, AR 71753 | 2009-07-15 |
| Find all providers in zip 71753 | ||||
| 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 |
|---|---|---|---|---|
| 1255875233 | Duane Anthony Richardson | Pharmacist | 623 Sedgewick Dr, Magnolia, DE 19962-3207 | 2016-12-12 |
| 1205278801 | Theresa Thanh-thuy Uong | Pharmacist | 7988 Fm 1488 Rd, Magnolia, TX 77354-1611 | 2013-07-23 |
| 1588936355 | Guillermo J Rosa | Pharmacist | 754 Ponderosa Dr, Magnolia, DE 19962-1140 | 2012-02-08 |
| 1275805889 | Sandra Salinas How | Pharmacist | 6875 Fm 1488 Rd Ste 300, Magnolia, TX 77354-4522 | 2012-01-30 |
| 1437420247 | Loraine Smith | Pharmacist | 3321 Smiley Honea Rd, Magnolia, MS 39652-7701 | 2012-01-25 |
| 1275803306 | Crystal Joseph | Pharmacist | 1045 Levi Beams Rd, Magnolia, KY 42757-7997 | 2012-01-05 |
| 1063794113 | Joanne Bundalian Tran | Pharmacist | 100 White Horse Pike N, Magnolia, Magnolia, NJ 08049-1466 | 2011-09-14 |
| 1255457305 | Steven Charles Hoffart | Pharmacist | 18230 Fm 1488 Rd Ste 100, Magnolia, TX 77354-4529 | 2007-03-21 |
| 1518971258 | Fred Samuel Emmite | Pharmacist | 18230 F.m. 1488, Suite: 100, Magnolia, TX 77354 | 2006-07-28 |
| 1871585901 | Michael Charles Bourgeois | Pharmacist | 31003 Sherrie Ln, Magnolia, TX 77354-5793 | 2005-08-16 |
| Find all providers in MAGNOLIA | ||||
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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.