DR. SAMUEL WOLF (NPI# 1346841517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346841517 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL WOLF |
| Credential | PHARMD |
| Practice Address |
17309 Interstate 30 S Benton AR 72015-2927 |
| Mailing Address |
1315 River Oaks Benton AR 72019-1843 |
| Practice Telephone | 5018606135 |
| Mailing Telephone | 5019419393 |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PD14536 | AR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215905989 | Samuel B Wolf | Obstetrics & Gynecology | 103 E 23rd St, Panama City, FL 32405-4501 | 2006-03-09 |
| Street Address |
17309 INTERSTATE 30 S |
| City | BENTON |
| State | AR |
| Zip Code | 72015-2927 |
| 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 | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244838 | Dana L Henson | Pharmacist | 3958 Hampton Dr, Benton, AR 72019-7609 | 2020-10-26 |
| 1154942845 | Blake Torres | Pharmacist | 501 W Sevier St, Benton, AR 72015-4215 | 2020-05-04 |
| 1649819962 | Josh Landrum | Pharmacist | 20820 I 30 N, Benton, AR 72019 | 2020-01-03 |
| 1295296614 | Harrison Family Pharmacy, P.l.l.c. | Pharmacist | 2323 N Highway 229 Ste A, Benton, AR 72015-7202 | 2019-03-28 |
| 1881170751 | Tim Grifford | Pharmacist | 1220 Curtis Ln, Benton, AR 72019-8358 | 2018-07-13 |
| 1194219410 | Tim James Finley | Pharmacist | 1016 W South St Ste 1, Benton, AR 72015-4074 | 2018-06-20 |
| 1073023099 | Charlotte K Moss | Pharmacist | 4375 Red Rock Rd, Benton, PA 17814-7948 | 2017-10-04 |
| 1073862843 | Elisha Dougherty | Pharmacist | 1004 Big Bear Hwy, Benton, KY 42025 | 2012-09-07 |
| 1578869228 | James Richard Mccollum | Pharmacist | 1102 N Maple St, Benton, IL 62812-1034 | 2011-01-27 |
| 1184850570 | Barry Jason Derden | Pharmacist | 615 Miller Cv, Benton, AR 72019-2399 | 2009-05-31 |
| Find all providers in BENTON | ||||
Please comment or provide details below to improve the information on DR. SAMUEL WOLF.
| 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.