DR. JANA GLYNN SHULTS (NPI# 1316178015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316178015 |
Entity Type | Individual |
Full Name | DR. JANA GLYNN SHULTS |
Credential | PHARM. D. |
Practice Address |
1100 N College Ave # 119 Fayetteville AR 72703-1944 |
Practice Telephone | 4794434301 |
Mailing Telephone | 4794434301 |
Enumeration Date | 2009-07-30 |
Last Update Date | 2019-09-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P1300X |
Pharmacist Specialization: Psychiatric |
14546 | OK | Pharmacy Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
921 Ne 13th St, Gf-102, Oklahoma City, OK 731045007 | 4054564131 |
Street Address |
1100 N COLLEGE AVE # 119 |
City | FAYETTEVILLE |
State | AR |
Zip Code | 72703-1944 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538779459 | Trenton Zachary Terry | Pharmacist | 1100 N College Ave # 119, Fayetteville, AR 72703-1944 | 2020-08-05 |
1124506209 | Bradley E Briggs | Pharmacist | 1100 N College Ave # 119, Fayetteville, AR 72703-1944 | 2018-08-01 |
1205217205 | Melissa Anne Waterhouse | Pharmacist | 1100 N College Ave # 119, Fayetteville, AR 72703-1944 | 2015-06-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
Find all providers in zip 72703 |
Taxonomy Code | 1835P1300X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Psychiatric |
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. |
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437648672 | Hannah Elizabeth Rabon | Pharmacist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2018-05-03 |
1215039219 | Amanda Gail Chapman | Pharmacist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2006-09-01 |
1003873977 | Angela H. Elliott | Pharmacist | 2300 Ramsey St, Fayetteville, NC 28301-3856 | 2006-04-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811277650 | Todd Wilson Brackins | Pharmacist | 103 Clair Cv, Searcy, AR 72143-8656 | 2011-08-24 |
1730213505 | Julia Joseph | Pharmacist | 4400 Shuffield Dr, Little Rock, AR 72205-7100 | 2007-03-15 |
1710063342 | Larry Michael Mcginnis | Pharmacist | 4300 W 7th St, Little Rock, AR 72205-5446 | 2006-10-27 |
1013017631 | Shelly M Spollen | Pharmacist | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2006-09-24 |
1588777684 | Judy Langford | Pharmacist | 2200 Fort Roots Dr, Mhc 116f2/nlr, North Little Rock, AR 72114-1709 | 2006-08-16 |
City | FAYETTEVILLE |
Zip Code | 72703 |
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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.