DAVID JACOB ROARK (NPI# 1679184352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679184352 |
| Entity Type | Individual |
| Full Name | DAVID JACOB ROARK |
| Practice Address |
2135 N West Ave El Dorado AR 71730-3351 |
| Practice Telephone | 8708625458 |
| Mailing Telephone | 8708625458 |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2020-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PN06516 | AR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750431482 | David Roark | Counselor | 1100 Walnut St, Owensboro, KY 42301-2956 | 2007-01-12 |
| Street Address |
2135 N WEST AVE |
| City | EL DORADO |
| State | AR |
| Zip Code | 71730-3351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568477826 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2135 N West Ave, El Dorado, AR 71730-3351 | 2006-07-29 |
| 1730694811 | Katelyn Vaughn | Pharmacist | 2135 N West Ave, El Dorado, AR 71730-3351 | 2017-12-11 |
| 1982119053 | Nicki Marie Hollis | Pharmacist | 2135 N West Ave, El Dorado, AR 71730-3351 | 2017-12-11 |
| 1528573607 | Jenna Huitt | Pharmacist | 2135 N West Ave, El Dorado, AR 71730-3351 | 2017-12-11 |
| 1861833550 | Jason Lineberry | Pharmacist | 2135 N West Ave, El Dorado, AR 71730-3351 | 2013-07-10 |
| 1134498868 | Wendy D Bain | Pharmacist | 2135 N West Ave, El Dorado, AR 71730-3351 | 2011-12-27 |
| 1437435476 | Kimberly Dawn Rieger | Pharmacist | 2135 N West Ave, El Dorado, AR 71730-3351 | 2011-10-21 |
| 1154604247 | John Scott Butterfield | Pharmacist | 2135 N West Ave, El Dorado, AR 71730-3351 | 2011-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856172 | Mental Health Counseling for Individuals and Couples | Clinic/Center | 3256 West Hillsboro Suite C, El Dorado, AR 71730 | 2019-11-25 |
| 1114578168 | Candance Marie Guinn | Nurse Practitioner | 1906 W Hillsboro St Ste B, El Dorado, AR 71730 | 2019-09-20 |
| 1811460462 | Kelsie Rogers | Pharmacist | 2202 N West Ave, El Dorado, El Dorado, AR 71730 | 2019-01-07 |
| 1861925331 | Kasey Leigh Mcclain | Nurse Practitioner | 2280 E Main St, El Dorado, AR 71730 | 2017-04-11 |
| 1366989568 | Shane Morr | Marriage & Family Therapist | 704 W 5th Dr, El Dorado, AR 71730 | 2017-01-25 |
| 1376986539 | Ivory A. Kinslow, Mdpa | Optometrist | 443 W Oak St, El Dorado, AR 71730 | 2013-04-08 |
| 1134485170 | Drs Weddle and Baumsardner | Dentist | 106 West Main St. 212, El Dorado, AR 71730 | 2012-04-04 |
| 1972888923 | Lenora S Newsome | Pharmacist | 2135 North West Ave, El Dorado, AR 71730 | 2011-10-20 |
| 1730460338 | South Arkansas Pharmacy, Inc | Pharmacy | 600 South Timberlane #101, El Dorado, AR 71730 | 2011-09-09 |
| 1710273891 | Ezinne Charity Nwude | Emergency Medicine | 701 N. West Avenue, El Dorado, AR 71730 | 2011-06-27 |
| Find all providers in zip 71730 | ||||
| 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 |
|---|---|---|---|---|
| 1811460462 | Kelsie Rogers | Pharmacist | 2202 N West Ave, El Dorado, El Dorado, AR 71730 | 2019-01-07 |
| 1992180202 | Jennifer Clausing | Pharmacist | 205 N. Vine, El Dorado, KS 67042 | 2015-07-28 |
| 1417332263 | Catherine Melrose | Pharmacist | 2402 Murray Ct, El Dorado, KS 67042-4160 | 2015-07-22 |
| 1013338375 | Harold Otwell | Pharmacist | 429 Williams Rd, El Dorado, AR 71730-9033 | 2014-01-03 |
| 1972888923 | Lenora S Newsome | Pharmacist | 2135 North West Ave, El Dorado, AR 71730 | 2011-10-20 |
| 1902988587 | Thomas Melvin Skeeles | Pharmacist | 828 W Hillsboro St, El Dorado, AR 71730-7047 | 2006-10-20 |
| 1770570384 | Candace Suzanne Crawford | Pharmacist | 220 S West Ave, El Dorado, AR 71730-5934 | 2005-09-29 |
| 1083608319 | Medic Pharmacy Inc of El Dorado | Pharmacist | 347 W Oak Street, El Dorado, AR 71730-4521 | 2005-09-01 |
| 1831722578 | Heather Michele Russell | Pharmacist | 2202 N West Ave, El Dorado, AR 71730-3352 | 2020-02-21 |
| 1649801531 | Benita Thomason | Pharmacist | 220 S West Ave, El Dorado, AR 71730-5934 | 2020-01-29 |
| Find all providers in EL DORADO | ||||
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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.