TIMOTHY R PHELAN (NPI# 1699050872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699050872 |
Entity Type | Individual |
Full Name | TIMOTHY R PHELAN |
Credential | RPH |
Practice Address |
131 N 26 St Walgreens Arkadelphia AR 71923 |
Mailing Address |
131 N 26 St Walgreens 10715 Arkadelphia AR 71923 |
Practice Telephone | 8702301809 |
Practice Fax Number | 8702301841 |
Mailing Telephone | 8702301809 |
Mailing Fax Number | 8702301841 |
Enumeration Date | 2011-10-19 |
Last Update Date | 2011-10-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | PD06379 | AR | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760543375 | Timothy Edwin Phelan | Specialist | 1621 Creekside Dr, 102, Folsom, CA 95630-3493 | 2006-12-13 |
1134388473 | Timothy Patrick Phelan | Internal Medicine | 2940 N Mccord Rd, Toledo, OH 43615 | 2008-06-02 |
1639131584 | Timothy Michael Phelan | Obstetrics & Gynecology | 2525 Riverside Ave, Jacksonville, FL 32204-4710 | 2006-04-05 |
Street Address |
131 N 26 ST WALGREENS |
City | ARKADELPHIA |
State | AR |
Zip Code | 71923 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467053512 | Lacey Griffin | Pharmacist | 109 Wp Malone Drive, Arkadelphia, AR 71923 | 2020-11-05 |
1528478955 | Baptist Health | Clinic/Center | 10 Montgomery Drive, Caddo Valley, AR 71923 | 2014-05-07 |
1770923724 | Amber Dawn Jones | Nurse Practitioner | 10 Montgomery Dr, Caddo Valley, AR 71923 | 2013-07-04 |
1083924229 | Misty Cox | Health Educator | 2410 Pine Street, Arkadelphia, AR 71923 | 2010-10-20 |
1942433677 | James W. Hankins, D.d.s., P.a. | Dentist | 2840 Twin Rivers Dr., Arkadelphia, AR 71923 | 2009-08-28 |
1003027061 | William Coke Viser | Counselor | 94 Pinnacle Drive, Arkadelphia, AR 71923 | 2007-05-24 |
1184843773 | Renski Davis-buckley | Case Manager/Care Coordinator | 524 N. Clark, Arkadelphia, AR 71923 | 2007-04-24 |
1407988355 | State of Arkansas | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Prator Drive, Arkadelphia, AR 71923 | 2007-03-09 |
1003945734 | Danita Stubbs | Case Manager/Care Coordinator | 2607 Caddo Street, Arkadelphia, AR 71923 | 2007-03-06 |
1447330659 | Community Vision Center Mossco Inc Dr Randy Wayne Moss Od | Optometrist | 109 Wp Malone, Arkadelphia, AR 71923 | 2006-10-16 |
Find all providers in zip 71923 |
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 |
---|---|---|---|---|
1467053512 | Lacey Griffin | Pharmacist | 109 Wp Malone Drive, Arkadelphia, AR 71923 | 2020-11-05 |
1679761753 | Anne Elizabeth Pless | Pharmacist | 192 Banks Rd, Arkadelphia, AR 71923-7102 | 2007-10-14 |
1841250164 | Ken Lancaster | Pharmacist | 5152 Highway 51 S, Arkadelphia, AR 71923-8360 | 2006-03-23 |
1366043242 | Charnita Jones Garland | Pharmacist | 109 Malone Dr, Arkadelphia, AR 71923-8111 | 2020-11-05 |
1578164455 | Kelly Dickey | Pharmacist | 109 Malone Dr, Arkadelphia, AR 71923-8111 | 2020-11-05 |
1316338726 | Gary Jack Newman | Pharmacist | 2800 Pine St, Pine Plaza #5, Arkadelphia, AR 71923-5321 | 2015-02-08 |
1881099539 | Brian Mcgalliard | Pharmacist | 3002 Pine St, Arkadelphia, AR 71923-5325 | 2014-10-23 |
1710328463 | Sarah Lee Dixon | Pharmacist | 131 N 26th St, Arkadelphia, AR 71923-4348 | 2013-07-10 |
1316217797 | James M Averitt Sr. | Pharmacist | 131 N 26th St, Arkadelphia, AR 71923-4348 | 2012-01-03 |
1083865414 | Edwin Dale Rutledge | Pharmacist | 3002 Pine St, Arkadelphia, AR 71923-5325 | 2008-10-03 |
Find all providers in ARKADELPHIA |
City | ARKADELPHIA |
Zip Code | 71923 |
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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.