JESSICA ELLIS (NPI# 1851768907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851768907 |
| Entity Type | Individual |
| Full Name | JESSICA ELLIS |
| Credential | PHARM.D |
| Practice Address |
322 Brownsville Loop Lonoke AR 72086-9348 |
| Practice Telephone | 5016763184 |
| Practice Fax Number | 5016763574 |
| Mailing Telephone | 5016763184 |
| Mailing Fax Number | 5016763574 |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2015-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PD10335 | AR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568081081 | Jessica Ann Ellis | Registered Nurse | 3910 Ashwood Dr, Pearland, TX 77584-9200 | 2020-04-14 |
| 1003289950 | Jessica Lynn Ellis | Licensed Practical Nurse | 414 Linden Pl, Elmira, NY 14901-1622 | 2015-11-01 |
| 1851775704 | Jessica Ellis | Counselor | 2132 S 12th St Ste 103, Allentown, PA 18103-4814 | 2015-07-09 |
| 1356529358 | Jessica Erin Ellis | Registered Nurse | 500 Bethany Woods Dr, Temple, GA 30179-3574 | 2008-02-01 |
| 1114487188 | Jessica Marie Ellis | Counselor | 1450 Madison Ave, Covington, KY 41011-3369 | 2019-03-25 |
| 1407348295 | Jessica Ellis | Behavior Technician | 5304 Hollyridge St, North Las Vegas, NV 89081-4000 | 2018-06-06 |
| 1255849832 | Jessica Ellis | Registered Nurse | 2850 S Industrial Hwy, Ann Arbor, MI 48104-6796 | 2018-01-17 |
| 1124571690 | Jessica Ellis | Speech-Language Pathologist | 105 S Ridgecrest Ave, Nixa, MO 65714-7807 | 2016-08-01 |
| 1962850800 | Jessica J Ellis | Dental Hygienist | 228 Beeman Pl, Us Army Dental Activity, Ft Riley, KS 66442-7009 | 2016-06-01 |
| 1861893380 | Jessica Anne Ellis | Counselor | 1590 Crestview Dr, Ashland, OH 44805-3560 | 2014-09-16 |
| Street Address |
322 BROWNSVILLE LOOP |
| City | LONOKE |
| State | AR |
| Zip Code | 72086-9348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962429357 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 322 Brownsville Loop, Lonoke, AR 72086-9348 | 2006-07-16 |
| 1982205076 | Jill M Cunningham | Pharmacist | 322 Brownsville Loop, Lonoke, AR 72086-9348 | 2020-11-04 |
| 1912507393 | Kristel Petrus | Pharmacist | 322 Brownsville Loop, Lonoke, AR 72086-9348 | 2020-10-27 |
| 1992172316 | Nichole Finch | Pharmacist | 322 Brownsville Loop, Lonoke, AR 72086-9348 | 2015-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265065064 | Access Medical Clinic Arkansas LLC | Family Medicine | 1010 N Center St, Lonoke, AR 72086 | 2020-02-20 |
| 1952944407 | Shannan Stewart | Counselor | 201 W. 2nd Street, Lonoke, AR 72086 | 2019-10-28 |
| 1134574379 | Kiara Loring | Case Manager/Care Coordinator | 201 W 2nd, Lonoke, AR 72086 | 2016-04-25 |
| 1184091415 | Whitney Reed | Nurse Practitioner | 130 Jf Blvd, Lonoke, AR 72086 | 2015-08-21 |
| 1265816672 | Catherine Forney | Case Manager/Care Coordinator | 201 W. Second, Lonoke, AR 72086 | 2015-07-15 |
| 1366865883 | Tiffany Hunter | Case Manager/Care Coordinator | 201 West 2nd St., Lonoke, AR 72086 | 2014-02-04 |
| 1174873723 | Jacob Darrell Johnson | Physical Therapist | 1515 North Center Street, Suite 5, Lonoke, AR 72086 | 2012-09-11 |
| 1154697829 | Joan Lavonne Tackett | Nurse Practitioner | 305 W. Front St.., Sherwood Urgent Care, Lonoke, AR 72086 | 2012-03-28 |
| 1013216035 | Angela Dyan Johnson | Speech-Language Pathologist | 114 Holly St, Lonoke, AR 72086 | 2011-03-16 |
| 1528382496 | Michael Roy Brown | Counselor | 201 W. 2nd, Lonoke, AR 72086 | 2010-03-22 |
| Find all providers in zip 72086 | ||||
| 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 |
|---|---|---|---|---|
| 1982205076 | Jill M Cunningham | Pharmacist | 322 Brownsville Loop, Lonoke, AR 72086-9348 | 2020-11-04 |
| 1912507393 | Kristel Petrus | Pharmacist | 322 Brownsville Loop, Lonoke, AR 72086-9348 | 2020-10-27 |
| 1104310366 | Brandon Achor | Pharmacist | 719 N Center St, Lonoke, AR 72086-2547 | 2018-06-20 |
| 1992172316 | Nichole Finch | Pharmacist | 322 Brownsville Loop, Lonoke, AR 72086-9348 | 2015-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851191 | Angie Mae Johnson | Pharmacist | 1250 S Amity Rd, Conway, AR 72032-8732 | 2020-11-07 |
| 1417558214 | Shara Parrish | Pharmacist | 2252 N 8th St, Rogers, AR 72756-2842 | 2020-11-06 |
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1184225062 | Lisa Diane Wilson | Pharmacist | 5600 Landers Road, Sherwood, AR 72117 | 2020-11-05 |
| 1467053512 | Lacey Griffin | Pharmacist | 109 Wp Malone Drive, Arkadelphia, AR 71923 | 2020-11-05 |
| 1346841517 | Samuel Wolf | Pharmacist | 17309 Interstate 30 S, Benton, AR 72015-2927 | 2020-11-04 |
| 1497356711 | Joshua Craig Cummins | Pharmacist | 1172 Highway 7 North, Dardanelle, AR 72834 | 2020-11-03 |
| 1790386316 | Chintan Patel | Pharmacist | 800 Highway 64, Wynne, AR 72396-7408 | 2020-11-02 |
| 1962002782 | Randy Paul Stayton | Pharmacist | 2109 W Main, Russellville, AR 72801 | 2020-10-30 |
| 1710587605 | Jordan Tyler Reed | Pharmacist | 2875 W Mlk Blvd, Fayetteville, AR 72704-7625 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
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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.