ARDELL BOZEMAN (NPI# 1336558188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336558188 |
| Entity Type | Individual |
| Full Name | ARDELL BOZEMAN |
| Credential | PHARMACY TECHNICIAN |
| Practice Address |
1718 Old Hot Springs Hwy Benton AR 72015 |
| Mailing Address |
Po Box 1589 Benton AR 72018-1589 |
| Practice Telephone | 5013153344 |
| Mailing Telephone | 5013033115 |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2014-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | PD06316 | AR | Pharmacy Service Providers |
| Street Address |
1718 OLD HOT SPRINGS HWY |
| City | BENTON |
| State | AR |
| Zip Code | 72015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801008578 | Herman Harley | Social Worker | 1718 Old Hot Springs Hwy, Benton, AR 72018-1589 | 2007-05-04 |
| 1386092369 | Mark Head | Case Manager/Care Coordinator | 1718 Old Hot Springs Hwy, Benton, AR 72019 | 2016-05-31 |
| 1629459631 | Sarah Ashby | Pharmacist | 1718 Old Hot Springs Hwy, Benton, AR 72015 | 2015-06-16 |
| 1144662024 | Sharron Hearn | Case Manager/Care Coordinator | 1718 Old Hot Springs Hwy, Benton, AR 72018 | 2013-07-22 |
| 1962764910 | Jennifer Stevens | Pharmacist | 1718 Old Hot Springs Hwy, Benton, AR 72015 | 2012-06-14 |
| 1205126539 | Birch Tree Communities, Inc. | Pharmacy | 1718 Old Hot Springs Hwy, Benton, AR 72019 | 2011-04-07 |
| 1083948525 | Tonya Brown | Case Manager/Care Coordinator | 1718 Old Hot Springs Hwy, Benton, AR 72015 | 2009-10-01 |
| 1417189614 | Necole Camile Hall | Technician, Other | 1718 Old Hot Springs Hwy, Benton, AR 72015-8909 | 2009-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
| 1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
| 1396269627 | Abby G Sims | Speech-Language Pathologist | 3391 Peachtree Lane, Benton, AR 72015 | 2017-07-28 |
| 1225551278 | Jessica R Poe | Case Manager/Care Coordinator | 1502 Marykay Blvd, Benton, AR 72015 | 2017-07-21 |
| 1003357997 | Jamaal Langston | Case Manager/Care Coordinator | 1502 Mark Kay Blvd, Benton, AR 72015 | 2017-03-13 |
| 1881138550 | Shannon Gachot-ridgley | Counselor | 205 South Street Suite 3, Benton, AR 72015 | 2016-12-14 |
| 1295104578 | Excel Health of Haskell, Pllc | Clinical Nurse Specialist | 6029 Us Hwy 67, Haskell, AR 72015 | 2015-09-17 |
| 1528464054 | Kacey Jo Kiker | Nurse Practitioner | 620 W South St, Benton, AR 72015 | 2014-11-11 |
| 1700218252 | Jamie Brunt | Licensed Practical Nurse | 1718 Old Hot Springs Rd, Benton, AR 72015 | 2013-08-07 |
| 1760738942 | Kari J Richards | Physical Therapist | 5701 Springhill Rd, Bryant, AR 72015 | 2012-07-25 |
| Find all providers in zip 72015 | ||||
| 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 |
|---|---|---|---|---|
| 1316235476 | Kelly Elrod | Pharmacy Technician | 1718 Hot Springs Hwy, Benton, AR 72019-2116 | 2011-07-11 |
| 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.