JILL R VANDESTEEG (NPI# 1194826305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194826305 |
| Entity Type | Individual |
| Full Name | JILL R VANDESTEEG |
| Practice Address |
333 Madison St Clarendon AR 72029 |
| Mailing Address |
525 Martin St Clarendon AR 72029-2112 |
| Practice Telephone | 8707473304 |
| Mailing Telephone | 8707473350 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | PT88675 | AR | Pharmacy Service Providers |
| Street Address |
333 MADISON ST |
| City | CLARENDON |
| State | AR |
| Zip Code | 72029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699339507 | Polk Pharmacy Management | Pharmacy | 333 Madison St, Clarendon, AR 72029-2717 | 2019-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548468010 | Baptist Health Hospitals | Clinic/Center | 198 N Main Street, Clarendon, AR 72029 | 2007-07-06 |
| 1285849844 | Mid-delta Health Systems, Inc. | Clinic/Center | 245 Madison St., Clarendon, AR 72029 | 2007-05-14 |
| 1093816217 | Christina Kaye Dunlap | Pharmacy Technician | 333 Madison St., Clarendon, AR 72029 | 2006-09-26 |
| 1972616126 | Polk Pharmacy Management, LLC | Pharmacy | 333 Madison Street, Clarendon, AR 72029 | 2006-08-15 |
| 1922109974 | Leah K Williamson | Pharmacist | 333 Madison, Clarendon, AR 72029 | 2006-09-25 |
| 1770685083 | Mary Carole M Polk | Pharmacist | 333 Madison Street, Clarendon, AR 72029 | 2006-09-05 |
| 1851525463 | Dewitt Hospital & Nursing Home, Inc | Ambulance | 270 Madison St, Clarendon, AR 72029-0000 | 2009-05-11 |
| 1043686116 | Megan Ellis | Contractor | 545 N Main St, Clarendon, AR 72029-2017 | 2015-08-12 |
| 1003034273 | Clarendon Public Schools | Local Education Agency (LEA) | 316 N 6th St, Clarendon, AR 72029-2412 | 2007-04-23 |
| 1871537084 | Richard Royce Wilson | Family Medicine | 245 Madison St, Clarendon, AR 72029-2706 | 2006-06-16 |
| Find all providers in zip 72029 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093816217 | Christina Kaye Dunlap | Pharmacy Technician | 333 Madison St., Clarendon, AR 72029 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598310484 | Catherine Bryant | Pharmacy Technician | 105 Chitwood St, Hot Springs, AR 71913-4218 | 2019-08-07 |
| 1639454317 | Leland R Turner | Pharmacy Technician | 301 1/2 S Maple St, Little Rock, AR 72205-5612 | 2011-10-13 |
| 1275771651 | Raymond Leon Yarbrough | Pharmacy Technician | 2022 Rice St, Little Rock, AR 72202-6148 | 2009-01-23 |
| 1467607804 | Cheryl Harris | Pharmacy Technician | 6 Twin Pine Pl, Little Rock, AR 72210-5645 | 2008-11-26 |
| 1275788267 | Miranda Ty Neal | Pharmacy Technician | 500 S Valentine St Apt C, Little Rock, AR 72205-5753 | 2008-11-18 |
| 1811141260 | Ordrey L Denton | Pharmacy Technician | 1812 Oakwood Apartments, 164, Jacksonville, AR 72076 | 2008-11-12 |
| 1942453980 | Brenda A Butler | Pharmacy Technician | 2020 Hinson Loop Rd, Little Rock, AR 72212-3900 | 2008-11-03 |
| 1982857116 | Irma S Stewart | Pharmacy Technician | 9124 Highway 365 S, Little Rock, AR 72206-7402 | 2008-10-31 |
| 1396998605 | Michael S. Miller | Pharmacy Technician | 5029 Fleming Ln, North Little Rock, AR 72117-1951 | 2008-10-30 |
| 1548424856 | Sofia Yvonne Andrews | Pharmacy Technician | 4300 W 7th, Littlerock, AR 72205 | 2008-07-16 |
| 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.