DR. BARRY JOE DALLAS (NPI# 1083041693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083041693 |
| Entity Type | Individual |
| Full Name | DR. BARRY JOE DALLAS |
| Credential | P.D. |
| Practice Address |
10 Eagle St Vilonia AR 72173-9214 |
| Practice Telephone | 5017962816 |
| Practice Fax Number | 5017962819 |
| Mailing Telephone | 5017962816 |
| Mailing Fax Number | 5017962819 |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2013-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PD06142 | AR | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | TAXONOMY CODE FOR PHARMACIST | 183500000X | 01 |
| Street Address |
10 EAGLE ST |
| City | VILONIA |
| State | AR |
| Zip Code | 72173-9214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831671908 | Michael S Palese | Physical Therapist | 1070 Main Street, Vilonia, AR 72173 | 2018-09-05 |
| 1902191968 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 10 Eagle Street, Vilonia, AR 72173 | 2011-06-17 |
| 1265693923 | Emily Mccarron | Occupational Therapist | 1164 Main Street, Vilonia, AR 72173 | 2008-06-24 |
| 1407060510 | Melissa Lynn Brewer | Speech-Language Pathologist | 10 Ridgewood Lp., Vilonia, AR 72173 | 2007-05-09 |
| 1710072277 | Brian Lane | Dentist | 17 Eagle Park, Vilonia, AR 72173 | 2006-10-03 |
| 1215030374 | Tracy Taylor | Counselor | 11eagle Dr., Vilonia, AR 72173 | 2006-09-06 |
| 1326096579 | Vilonia Chiropractic | Chiropractor | 1122 Main, Ste 4, Vilonia, AR 72173 | 2006-05-04 |
| 1750349858 | Charles Wesley Himmler | Family Medicine | 1159 Main Street, Vilonia, AR 72173 | 2006-05-01 |
| 1447760392 | Vts Inc | Occupational Therapist | 1070 Main St, Vilonia, AR 72173 | 2017-10-05 |
| 1093192338 | Crystal L. Hart | Counselor | 1112 Main St, Vilonia, AR 72173 | 2015-05-06 |
| Find all providers in zip 72173 | ||||
| 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 |
|---|---|---|---|---|
| 1346840279 | Tanya Leigh Taylor | Pharmacist | 316 Highway 319 E, Vilonia, AR 72173-9574 | 2020-10-29 |
| 1568572378 | Don Porter | Pharmacist | 8 Dove Creek Dr, Vilonia, AR 72173-8014 | 2006-08-30 |
| 1275086118 | Kyla Renee Mccain | Pharmacist | 1122 Main St Ste 14, Vilonia, AR 72173-8902 | 2016-07-27 |
| 1508968389 | Michael D Hambuchen Sr. | Pharmacist | 1155 Main St, Vilonia, AR 72173-9525 | 2006-09-02 |
| 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.