KELLY JEANINE HARRELL (NPI# 1912499583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912499583 |
| Entity Type | Individual |
| Full Name | KELLY JEANINE HARRELL |
| Credential | PD |
| Practice Address |
25 Bull Run Loop Cabot AR 72023-9401 |
| Practice Telephone | 5012590564 |
| Mailing Telephone | 5012590564 |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2018-05-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PD07555 | AR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710516562 | Kelly Harrell | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Dr, San Antonio, TX 78229-3901 | 2020-04-03 |
| Street Address |
25 BULL RUN LOOP |
| City | CABOT |
| State | AR |
| Zip Code | 72023-9401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003458407 | Arthur Latrell Mays Jr. | Transportation Broker | 18 High Plains Drive, Cabot, AR 72023 | 2019-10-17 |
| 1275182677 | Central Arkansas Screening and Medical Services | Clinical Nurse Specialist | 801 W. Locust St, Cabot, AR 72023 | 2019-09-09 |
| 1154975431 | Cabot Ep, Pllc | Emergency Medicine | 212 Willie Ray Dr., Cabot, AR 72023 | 2019-07-25 |
| 1972070993 | Little Rock Hospital 1, LLC | General Acute Care Hospital | 212 Willie Ray Dr, Cabot, AR 72023 | 2018-10-29 |
| 1437654670 | Eldercare of Arkansas V, Inc. | Assisted Living Facility | 601 E. Mountain Springs Road, Cabot, AR 72023 | 2018-03-29 |
| 1558889220 | Justin Kent | Physical Therapist | 2800 South 2nd Street Ste. B, Cabot, AR 72023 | 2017-09-01 |
| 1518310390 | Viki Vinson | Registered Nurse | 51 Financial Drive, Cabot, AR 72023 | 2016-07-18 |
| 1477934552 | Next Generation Physical Therapy | Physical Therapist | 100 Gateway Drive, Cabot, AR 72023 | 2015-06-15 |
| 1366829020 | Amber Barnes | Speech-Language Pathologist | 16150 Arkansas 5, Cabot, AR 72023 | 2015-05-01 |
| 1184020984 | Jodi Hood | Speech-Language Pathologist | 601 N Lincoln St, Cabot, AR 72023 | 2014-11-06 |
| Find all providers in zip 72023 | ||||
| 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 |
|---|---|---|---|---|
| 1548808223 | Sara Winningham | Pharmacist | 816 Mystery Lake Dr, Cabot, AR 72023-7866 | 2019-12-12 |
| 1538554662 | Kirk Cybulski | Pharmacist | 1 Kmart Plz, Cabot, AR 72023-2850 | 2015-04-06 |
| 1033538327 | Gregory Doublas Turner | Pharmacist | 14 Greystone Blvd, Cabot, AR 72023-8175 | 2014-04-15 |
| 1861524399 | Teresa Michele Ceal | Pharmacist | 105 N Jackson St, Cabot, AR 72023 | 2007-03-10 |
| 1356342265 | Calvin George Euler | Pharmacist | 2825 Cherry Rd, Cabot, AR 72023-9482 | 2005-08-02 |
| 1962003913 | Ashley Fry | Pharmacist | 304 S Rockwood Dr, Cabot, AR 72023-2881 | 2020-11-05 |
| 1821699067 | Joshua Winningham | Pharmacist | 1203 S Pine St, Cabot, AR 72023-3809 | 2020-11-04 |
| 1023618105 | Tamara Lyn Mcfadden | Pharmacist | 304 S Rockwood Dr, Cabot, AR 72023-2881 | 2020-10-28 |
| 1386244416 | Amanda Oshields | Pharmacist | 304 S Rockwood Dr, Cabot, AR 72023-2881 | 2020-10-28 |
| 1639779705 | Carey Elizabeth Hopper | Pharmacist | 304 S Rockwood Dr, Cabot, AR 72023-2881 | 2020-10-28 |
| Find all providers in CABOT | ||||
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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.