ERICA TACKETT (NPI# 1023523024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023523024 |
| Entity Type | Individual |
| Full Name | ERICA TACKETT |
| Credential | PHARMD |
| Practice Address |
2701 N Summit St Arkansas City KS 67005-8813 |
| Mailing Address |
327 N 2nd St Arkansas City KS 67005-2414 |
| Practice Telephone | 6204422051 |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2017-12-12 |
| 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 |
1-103351 | KS | Pharmacy Service Providers |
| Street Address |
2701 N SUMMIT ST |
| City | ARKANSAS CITY |
| State | KS |
| Zip Code | 67005-8813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518984020 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2701 N Summit St, Arkansas City, KS 67005-8813 | 2006-07-17 |
| 1063883940 | Don Gary Bennett | Pharmacist | 2701 N Summit St, Arkansas City, KS 67005-8813 | 2015-10-17 |
| 1952706533 | Kelvin O'daniel | Pharmacist | 2701 N Summit St, Arkansas City, KS 67005-8813 | 2014-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720498066 | Kenneth D Tyler | Contractor | 33370 61st Road, Arkansas City, KS 67005 | 2014-05-07 |
| 1902242761 | Ark City Dental | Preferred Provider Organization | 625 North Summit, Arkansas City, KS 67005 | 2013-05-20 |
| 1558427054 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 402 Windsor Road, Arkansas City, KS 67005 | 2006-12-29 |
| 1780754218 | Graves Drug Store #11 | Pharmacy | 212 South Summit, Arkansas City, KS 67005 | 2006-11-09 |
| 1881774644 | Wal-mart Stores, Inc. | Technician/Technologist | 2701 N. Summit St., Arkansas City, KS 67005 | 2006-10-16 |
| 1700977683 | Sydney Lynn Baker | Pharmacist | 212 S Summit, Graves Drug, Arkansas City, KS 67005 | 2006-09-27 |
| 1669572053 | Kamran Shahzada | Internal Medicine | 515 North Summit St., Arkansas City, KS 67005 | 2006-09-25 |
| 1558465674 | Brett Michael House | Chiropractor | 2149 N Summit, Arkansas City, KS 67005 | 2006-09-11 |
| 1700802774 | Lucinda Jo Minkler | Physical Therapist | 2524 North Summit, Arkansas City, KS 67005 | 2006-07-14 |
| 1528008323 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 425 N Summit St, Arkansas City, KS 67005 | 2006-06-08 |
| Find all providers in zip 67005 | ||||
| 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 |
|---|---|---|---|---|
| 1639719016 | Stacie Lynn Niehues | Pharmacist | 2010 Se 29th St Ste B, Topeka, KS 66605-3311 | 2020-01-13 |
| 1144860164 | Jacqueline Baker | Pharmacist | 8709 W 80th St, Overland Park, KS 66204-3305 | 2020-01-07 |
| 1366815714 | Brandon Thomas | Pharmacist | 4104 S 4th St, Leavenworth, KS 66048-5082 | 2015-11-06 |
| 1861818429 | Katherine Marie Lurk | Pharmacist | 7101 College Blvd Ste 600, Overland Park, KS 66210-2083 | 2014-03-06 |
| 1073865374 | David R Schoech | Pharmacist | 922 W Country Rd, Columbus, KS 66725-3003 | 2012-10-10 |
| 1629343819 | Gary Gene Coleman | Pharmacist | 20816 W 99th St, Lenexa, KS 66220-2699 | 2012-03-20 |
| 1194097766 | Todd Schroeder | Pharmacist | 929 N Saint Francis Street, Via Christi, Wichita, KS 67214 | 2012-01-30 |
| 1952683013 | James Mckee Bredahl | Pharmacist | 17730 189th St, Tonganoxie, KS 66086-5173 | 2011-09-15 |
| 1245510882 | Kevin D. Myers | Pharmacist | 2110 Nw Topeka Blvd, Topeka, KS 66608-1831 | 2011-08-26 |
| 1972800662 | Alireza Ahmadian | Pharmacist | 14631 S Garnett St, Olathe, KS 66062-8411 | 2011-02-16 |
| Find all providers with the same taxonomy | ||||
| City | ARKANSAS CITY |
| Zip Code | 67005 |
Please comment or provide details below to improve the information on ERICA TACKETT.
| 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.