JACK DOWELL PITTMAN JR. (NPI# 1174940894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174940894 |
Entity Type | Individual |
Full Name | JACK DOWELL PITTMAN JR. |
Credential | DPH. GCP |
Practice Address |
4134 Highway 336 W Clinton AR 72031-8311 |
Mailing Address |
3 Sergio Ln Hot Springs Village AR 71909-7929 |
Practice Telephone | 5017458784 |
Mailing Telephone | 5014722550 |
Enumeration Date | 2014-03-19 |
Last Update Date | 2014-03-19 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835G0303X |
Pharmacist Specialization: Geriatric |
9700 | OK | Pharmacy Service Providers |
Street Address |
4134 HIGHWAY 336 W |
City | CLINTON |
State | AR |
Zip Code | 72031-8311 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447857909 | Marinda Renee Bryan | Pharmacist | 2526 Hwy 65 S. Ste 101, Clinton, AR 72031 | 2020-10-07 |
1740898584 | Jamie Beavers Dds, P.a. | Dentist | 354 Main Street, Clinton, AR 72031 | 2020-07-17 |
1992352637 | Peggy Michelle Mann | Occupational Therapy Assistant | 765 Yellow Jacket Lane, Clinton, AR 72031 | 2019-08-19 |
1225518475 | Rebecca Sangi | Counselor | 244 U.S. 65, Suite 6, Clinton, AR 72031 | 2018-08-17 |
1437668175 | Caitlin Abiseid Shull | Nurse Practitioner | 194 Shake Rag Rd, Clinton, AR 72031 | 2017-09-26 |
1386048890 | Jones Family Pharmacy Inc. | Pharmacy | 1930 Hwy 65 South, Clinton, AR 72031 | 2014-10-13 |
1275846784 | Timeless Family Chiropractic, LLC | Chiropractor | 116 Maxwell St., Clinton, AR 72031 | 2010-07-26 |
1417189481 | Karen Thomas | Case Manager/Care Coordinator | 1303 Hwy 65, Suite 3, Clinton, AR 72031 | 2009-08-10 |
1962637082 | Conway County Community Service Inc | Community/Behavioral Health | Hwy 65, Rt. 6, Box 243, Clinton, AR 72031 | 2009-05-19 |
1699910596 | Dorthy D Hill | Behavioral Analyst | 1681 Hwy 65 S, Clinton, AR 72031 | 2008-12-05 |
Find all providers in zip 72031 |
Taxonomy Code | 1835G0303X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Geriatric |
A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly. |
Notes: Source: Commission for Certification in Geriatric Pharmacy (www.ccgp.org) [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376674531 | Lynette Spencer Mikesh | Pharmacist | 1410 N 4th St, Clinton, IA 52732-2940 | 2007-03-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265848402 | Lindsay S Elliott | Pharmacist | 105 Sageview Dr, Searcy, AR 72143-7042 | 2014-07-09 |
1487950614 | Arin Passmore | Pharmacist | 4083 N Zion Valley Dr, Fayetteville, AR 72703-5079 | 2011-02-05 |
1073784328 | Robert Fontaine Richardson | Pharmacist | 2724 Crouchwood Rd, Little Rock, AR 72207-2744 | 2008-03-14 |
1710165659 | Michael Alred | Pharmacist | 133 Manitou Dr, Maumelle, AR 72113-5874 | 2008-02-02 |
1982729711 | A&e Apothecary | Pharmacist | 317 E 13th, Murfreesboro, AR 71958-0259 | 2007-03-20 |
1538760434 | Alana Robertson Clark | Pharmacist | 760 Michaela Dr, North Little Rock, AR 72117-5361 | 2020-11-06 |
1285233924 | Tabita Peret Secrian | Pharmacist | 760 Michaela Dr, North Little Rock, AR 72117-5361 | 2020-10-23 |
1427358225 | Cassie Lawson | Pharmacist | 3409 Wheeler Ave, Fort Smith, AR 72901-6625 | 2010-10-26 |
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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.