DR. MELISSA MAX (NPI# 1851607188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851607188 |
Entity Type | Individual |
Full Name | DR. MELISSA MAX |
Credential | PHARMD |
Practice Address |
924 Front St Conway AR 72032-4304 |
Practice Telephone | 5013295626 |
Enumeration Date | 2010-08-24 |
Last Update Date | 2010-08-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
08195 | AR | Pharmacy Service Providers |
Street Address |
924 FRONT ST |
City | CONWAY |
State | AR |
Zip Code | 72032-4304 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306843016 | Baker Drug Company | Pharmacy | 924 Front St, Conway, AR 72032-4304 | 2005-07-07 |
1063063444 | Baker Drug Company | Pharmacy | 924 Front St, Conway, AR 72032-4304 | 2019-09-26 |
1467852525 | David Isaac Baldridge | Pharmacist | 924 Front St, Conway, AR 72032-4304 | 2014-08-26 |
1992980197 | James Andrew Dallas | Pharmacist | 924 Front St, Conway, AR 72032-4304 | 2008-01-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730789843 | Amelia S Lasater | Pharmacist | 1155 Hwy 65n, Conway, AR 72032 | 2020-10-28 |
1619584604 | Danyelle Durocher | Occupational Therapist | 1301 North Museum Rd, Conway, AR 72032 | 2020-09-24 |
1780222174 | Eric Herman Boxnick | Pharmacist | 101 West Oak Street, Conway, AR 72032 | 2019-12-16 |
1932746070 | Habilitation Center, LLC | Psychiatric Residential Treatment Facility | 161 Skunk Hollow Road, Conway, AR 72032 | 2019-12-09 |
1679051668 | Mary Elizabeth Black | Nurse Practitioner | 222 Dave Ward Drive, Conway, AR 72032 | 2018-08-01 |
1275035602 | Conway Dental Center Pllc | Dentist | 1600 E. Oak Street Suite B, Conway, AR 72032 | 2018-03-01 |
1750821625 | Luke Osborne | Physical Therapy Assistant | 1 Thomas Ln, Conway, AR 72032 | 2017-02-27 |
1639620099 | Sam's West, Inc. | Technician/Technologist | 1250 South Amity Rd, Conway, AR 72032 | 2016-10-20 |
1922559343 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 1250 Sourth Amity Rd, Conway, AR 72032 | 2016-10-20 |
1639629108 | Posture Store | Durable Medical Equipment & Medical Supplies | 3900 Dave Ward Dr., Suite 1900-130, Conway, AR 72032 | 2016-10-09 |
Find all providers in zip 72032 |
Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902438484 | Tyler Reid Walsh | Pharmacist | 1120 E German Ln, Conway, AR 72032-4555 | 2020-02-12 |
1659919926 | Letha Mae Hendrickson | Pharmacist | 855 Salem Rd, Conway, AR 72034-4820 | 2019-12-17 |
1154969707 | Marc Anderson | Pharmacist | 855 Salem Rd, Conway, AR 72034-4820 | 2019-12-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235755497 | Shannon Mcelroy | Pharmacist | 300 I-40 Service Rd, West Memphis, AR 72301 | 2020-06-23 |
1306485545 | Ryan Adams | Pharmacist | 20820 I-30 North, Benton, AR 72019 | 2020-01-06 |
1982243655 | Amanda Reynolds | Pharmacist | 6929 Jfk Blvd Ste 5, North Little Rock, AR 72116-5397 | 2019-12-30 |
1336788074 | Melissa Ann Vail | Pharmacist | 6929 John F Kennedy Blvd Ste 5, North Little Rock, AR 72116-5397 | 2019-12-28 |
1174161475 | Mary Williams | Pharmacist | 300 I-40 Service Road, West Memphis, AR 72301 | 2019-12-17 |
1215575964 | Jill Madonia Frazier | Pharmacist | 2 Coffee Pot Ln, Little Rock, AR 72202-1624 | 2019-12-12 |
1851938732 | Jerald Christopher Hailey | Pharmacist | 8415 W Markham St Ste B, Little Rock, AR 72205-2496 | 2019-12-10 |
1184261174 | Ashley Nicole Norton | Pharmacist | 4403 Camp Robinson Rd Ste A, North Little Rock, AR 72118-3699 | 2019-12-09 |
1205344678 | Whitney Woodward Campbell | Pharmacist | 1848 W Main St, Cabot, AR 72023-2745 | 2018-01-18 |
1659807691 | Janna Hawthorne | Pharmacist | 900 S Shackleford Rd Ste 501, Little Rock, AR 72211-3847 | 2017-05-11 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on DR. MELISSA MAX.
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.