BELLA VISTA PHARMACY, INC (NPI# 1841336765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841336765 |
Entity Type | Organization |
Organization Name | BELLA VISTA PHARMACY, INC |
Practice Address |
408 Town Ctr Ne Bella Vista AR 72714-1817 |
Practice Telephone | 4798553791 |
Practice Fax Number | 4798765881 |
Mailing Telephone | 4798553791 |
Mailing Fax Number | 4798765881 |
Enumeration Date | 2007-01-29 |
Last Update Date | 2009-10-13 |
Authorized Official Name | MR. TANNER B BEDWELL (TREASURER, PHARMTECH) |
Authorized Official Telephone | 4798553791 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
AR11950 | AR | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | PTAN | 10641 | 01 |
Street Address |
408 TOWN CTR NE |
City | BELLA VISTA |
State | AR |
Zip Code | 72714-1817 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427114644 | Robin Renee Ritter | Pharmacist | 408 Town Ctr Ne, Bella Vista, AR 72714-1817 | 2006-12-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710230701 | Maurice A Torres | Clinic/Center | 9 Cresswell Circle, Bella Vista, AR 72714 | 2012-10-16 |
1790801991 | Karra D Sparks | Nutritionist | #4 Hanover Drive, Bella Vista, AR 72714 | 2007-03-21 |
1659405132 | Bella Vista Hearing Center Pllc | Audiologist | 22 Sugar Creek Center, Bella Vista, AR 72714 | 2007-03-15 |
1144329798 | Albert Paul Price Jr. | Nurse Practitioner | 1 Mercy Way Ste 20, Bella Vista, AR 72714 | 2006-09-21 |
1679025324 | Marymargaret Portera | Case Manager/Care Coordinator | 2005 Se Walton Blvd, Bentonville, AR 72714 | 2016-10-28 |
1982979720 | Ashley L Goss | Nurse Practitioner | 1 Mercy Way Ste 20, Bella Vista, AR 72714 | 2012-03-13 |
1538459425 | Jennifer Jo Jennings | Nurse Practitioner | 1 Mercy Way Ste 20, Bella Vista, AR 72714 | 2011-04-12 |
1932313491 | Andrea Myane | Physical Therapist | 500 Tiger Blvd, Bentonville, AR 72714 | 2007-05-10 |
1386853893 | Shawn Stephen Key | Audiologist | 407 Town Ctr Ne, Bella Vista, AR 72714-1818 | 2007-05-21 |
1942532387 | Better Hearing and Balance Connection | Audiologist | 407 Town Ctr Ne, Bella Vista, AR 72714-1818 | 2010-02-10 |
Find all providers in zip 72714 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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Find all providers with the same taxonomy |
City | BELLA VISTA |
Zip Code | 72714 |
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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.