JACK DOWELL PITTMAN JR.


Address: 4134 Highway 336 W, Clinton, AR 72031-8311
Phone: 5017458784

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835G0303X Pharmacist
Specialization: Geriatric
9700 OK Pharmacy Service Providers

Office Location

Street Address 4134 HIGHWAY 336 W
City CLINTON
State AR
Zip Code 72031-8311

Providers in the same zip code

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 Information

Taxonomy Code 1835G0303X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Geriatric

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376674531 Lynette Spencer Mikesh Pharmacist 1410 N 4th St, Clinton, IA 52732-2940 2007-03-08

Providers in the same taxonomy and state

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

Competitor

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City CLINTON
Zip Code 72031

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Dataset Information

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.

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