LOGAN JEAN (NPI# 1588005813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588005813 |
Entity Type | Individual |
Full Name | LOGAN JEAN |
Credential | PHARM.D. |
Practice Address |
1100 N College Ave Fayetteville AR 72703-1944 |
Mailing Address |
Po Box 2429 Smyrna TN 37167-1719 |
Practice Telephone | 4794434301 |
Enumeration Date | 2013-07-15 |
Last Update Date | 2019-09-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
PD12371 | AR | Pharmacy Service Providers |
Street Address |
1100 N COLLEGE AVE |
City | FAYETTEVILLE |
State | AR |
Zip Code | 72703-1944 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265435697 | Randall B Davis | Specialist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2005-05-31 |
1548870462 | Anna Parker | Pharmacist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-08-05 |
1912522095 | Shan M Khan | Dentist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-06-14 |
1760003495 | Andrea G. Burnett | Respiratory Therapist, Registered | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-05-05 |
1396366092 | Robin Elizabeth Bush | Respiratory Therapist, Registered | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-05-04 |
1295356186 | Brock Helfrich | Optometrist | 1100 N College Ave, Fayetteville, AR 72703-1999 | 2020-05-01 |
1285255661 | Curtis Deon Burnley Jr. | Optometrist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-04-27 |
1871113878 | Katherine Lynn Horn | Optometrist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-04-20 |
1649890930 | William Colton Cheek | Optometrist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-04-16 |
1487285995 | Kristen Schatzman | Social Worker | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-02-03 |
Find all providers in the same location |
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 | 1835P2201X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Ambulatory Care |
A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093166761 | Melanie Michele Gregg | Pharmacist | 120 Adam Ridge Ln, Fayetteville, GA 30214-1806 | 2016-06-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083199897 | Ellen Shalane Jones | Pharmacist | 2904 E Race Ave, Searcy, AR 72143-4806 | 2018-09-27 |
1154874402 | Gabriella Douglass | Pharmacist | 3146 W Country Club Rd, Searcy, AR 72143-9474 | 2016-08-03 |
1144835323 | Pranav Amin | Pharmacist | 305 Rodgers Dr, Searcy, AR 72143-7432 | 2020-09-14 |
1710508940 | John Joseph Biron | Pharmacist | 219 Highway 62 412, Ash Flat, AR 72513-9593 | 2020-04-28 |
1538669692 | Sam Hammett IIi | Pharmacist | 113 East St, Texarkana, AR 71854-6303 | 2018-02-15 |
1548769441 | Jessica Anne Cox | Pharmacist | 705 Highway 62 65 N, Harrison, AR 72601-2152 | 2018-02-06 |
1588176374 | Delta Medical Transport, LLC | Pharmacist | 3404 Philco, Blytheville, AR 72315-5176 | 2017-11-01 |
1801257480 | Jessica B Binz | Pharmacist | 612 S 12th St, Fort Smith, AR 72901-4702 | 2016-03-10 |
City | FAYETTEVILLE |
Zip Code | 72703 |
Please comment or provide details below to improve the information on LOGAN JEAN.
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.