DR. MARCUS GENE COSTNER (NPI# 1750561734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750561734 |
| Entity Type | Individual |
| Full Name | DR. MARCUS GENE COSTNER |
| Credential | PHARMD, BCPS |
| Practice Address |
1100 N College Ave Fayetteville AR 72703-1944 |
| Mailing Address |
4300 W 7th St Little Rock AR 72205-5446 |
| Practice Telephone | 4794434301 |
| Mailing Telephone | 5012571000 |
| Mailing Fax Number | 5012576361 |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2019-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
PD10479 | AR | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4300 W 7th St, Little Rock, AR 722055446 | 5012571000 | 5012576361 |
| Street Address |
1100 N COLLEGE AVE |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-1944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265435697 | Randall B Davis | Specialist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2005-05-31 |
| 1548870462 | Anna Parker | Pharmacist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-08-05 |
| 1912522095 | Shan M Khan | Dentist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-06-14 |
| 1760003495 | Andrea G. Burnett | Respiratory Therapist, Registered | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-05-05 |
| 1396366092 | Robin Elizabeth Bush | Respiratory Therapist, Registered | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-05-04 |
| 1295356186 | Brock Helfrich | Optometrist | 1100 N College Ave, Fayetteville, AR 72703-1999 | 2020-05-01 |
| 1285255661 | Curtis Deon Burnley Jr. | Optometrist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-04-27 |
| 1871113878 | Katherine Lynn Horn | Optometrist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-04-20 |
| 1649890930 | William Colton Cheek | Optometrist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-04-16 |
| 1487285995 | Kristen Schatzman | Social Worker | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255836037 | Clarice Montgomery | Pharmacist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2018-03-26 |
| 1518343235 | Lisa Barnes | Pharmacist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2015-08-04 |
| 1740622265 | Yaw Boateng Anane | Pharmacist | 3296 Village Dr, Fayetteville, NC 28304-3817 | 2013-07-25 |
| 1679856231 | Rose Alta Barnes | Pharmacist | 3300 Ramsey St, Fayetteville, NC 28301-7624 | 2011-09-21 |
| 1922392299 | Shawndra Jones | Pharmacist | 3545 N Shiloh Dr, Fayetteville, AR 72703-5359 | 2011-06-04 |
| 1750454419 | Johnny Wade Hawley | Pharmacist | 1100 N College Ave, Veterans Administration Hospital (119 Pharmacy), Fayetteville, AR 72703-1944 | 2006-11-17 |
| 1568564532 | Michelle Rushano | Pharmacist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2006-09-01 |
| 1740244821 | Gira Sandip Patel | Pharmacist | 2300 Ramsey St, Fayetteville, NC 28301-3856 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194335695 | Amanda Kay Galiano | Pharmacist | 8 Chicot Cv, Maumelle, AR 72113-6352 | 2020-08-09 |
| 1649735499 | Advanced Therapeutic Applications LLC | Pharmacist | 3842 Laurel Ridge, Springdale, AR 72764-1075 | 2019-02-06 |
| 1780936526 | Ginger Allison Kesler | Pharmacist | 123 Blackburn Dr, Little Rock, AR 72211-2168 | 2012-10-03 |
| 1952608861 | Paula Barton | Pharmacist | 5 Copperfield, Bentonville, AR 72712-4095 | 2011-02-13 |
| 1518010396 | Jennifer E Stark | Pharmacist | 5826 Dancing Rabbit Dr, Springdale, AR 72762-6277 | 2007-01-18 |
| 1962512897 | Clinton Thriftway Pharmacy | Pharmacist | 129 Bone St., Clinton, AR 72031-1060 | 2006-08-30 |
| 1649389750 | Michael Chandler | Pharmacist | 2270 Wilmington Dr, Conway, AR 72034-2029 | 2006-08-30 |
| 1104800168 | Charles Clifton Marsh | Pharmacist | 3106 S 106th Cir, Attn: Npi, Fort Smith, AR 72903-5871 | 2005-12-02 |
| 1952949448 | Allie Danielle Staton | Pharmacist | 620 W South St, Benton, AR 72015-4258 | 2019-12-15 |
| 1295133312 | Jill Harrod | Pharmacist | 7321 Cantrell Rd, Little Rock, AR 72207-4144 | 2014-12-06 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
Please comment or provide details below to improve the information on DR. MARCUS GENE COSTNER.
| 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.