DR. MICHAEL J THILO (NPI# 1619443942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619443942 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL J THILO |
| Credential | PHARMD |
| Practice Address |
637 Highway 365 Mayflower AR 72106-9630 |
| Practice Telephone | 5017301969 |
| Mailing Telephone | 5014709898 |
| Mailing Fax Number | 5014709895 |
| Enumeration Date | 2018-10-14 |
| Last Update Date | 2019-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PD11072 | AR | Pharmacy Service Providers |
| Street Address |
637 HIGHWAY 365 |
| City | MAYFLOWER |
| State | AR |
| Zip Code | 72106-9630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164998498 | Thilo Pharmacy Services | Pharmacy | 637 Highway 365, Mayflower, AR 72106-9630 | 2018-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790306124 | Jbr Enterprises Inc | Pharmacy | 600 Hwy 365, Mayflower, AR 72106 | 2020-04-27 |
| 1285903955 | Melissa Wallace | Physical Therapist | 582 Hwy 365 Ste 3, Mayflower, AR 72106 | 2011-12-23 |
| 1790053502 | Freds Stores of Tennessee Inc. | Pharmacy | 652 Hwy 365, Mayflower, AR 72106 | 2011-12-07 |
| 1922136746 | My House, Inc. | Case Management | #760 Highway 365 South, Mayflower, AR 72106 | 2007-03-01 |
| 1407914583 | Mayflower School | Local Education Agency (LEA) | 18 Eagle Cir., Mayflower, AR 72106 | 2006-12-04 |
| 1407890577 | Erin R. Lewis | Physical Therapist | 4 Grove Street, Mayflower, AR 72106 | 2006-06-16 |
| 1790867257 | Mayflower Family Medicine | Clinic/Center | 587 Highway 365, Mayflower, AR 72106 | 2006-10-20 |
| 1033219753 | Shelly M Clifton | Nurse Practitioner | 587 Highway 365, Mayflower, AR 72106 | 2006-09-23 |
| 1902235302 | Jami Lynn Faulkner | Dietitian, Registered | 6 Ledrick Cir, Mayflower, AR 72106-8404 | 2013-11-06 |
| 1700194990 | John B Witherspoon Optometric Physician Ltd | Optometrist | 29 River Road Dr E, Mayflower, AR 72106-8409 | 2010-09-22 |
| Find all providers in zip 72106 | ||||
| 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 |
|---|---|---|---|---|
| 1043669385 | Lisa Fox Terry | Pharmacist | 116 River Road Dr W, Mayflower, AR 72106-8426 | 2016-06-07 |
| 1700243359 | Dustin Brown | Pharmacist | 600 Highway 365, Mayflower, AR 72106-9595 | 2016-01-26 |
| 1598979908 | Denise M Clayton | Pharmacist | 11 River Bend Rd, Mayflower, AR 72106-8415 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851191 | Angie Mae Johnson | Pharmacist | 1250 S Amity Rd, Conway, AR 72032-8732 | 2020-11-07 |
| 1417558214 | Shara Parrish | Pharmacist | 2252 N 8th St, Rogers, AR 72756-2842 | 2020-11-06 |
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1184225062 | Lisa Diane Wilson | Pharmacist | 5600 Landers Road, Sherwood, AR 72117 | 2020-11-05 |
| 1467053512 | Lacey Griffin | Pharmacist | 109 Wp Malone Drive, Arkadelphia, AR 71923 | 2020-11-05 |
| 1346841517 | Samuel Wolf | Pharmacist | 17309 Interstate 30 S, Benton, AR 72015-2927 | 2020-11-04 |
| 1497356711 | Joshua Craig Cummins | Pharmacist | 1172 Highway 7 North, Dardanelle, AR 72834 | 2020-11-03 |
| 1790386316 | Chintan Patel | Pharmacist | 800 Highway 64, Wynne, AR 72396-7408 | 2020-11-02 |
| 1962002782 | Randy Paul Stayton | Pharmacist | 2109 W Main, Russellville, AR 72801 | 2020-10-30 |
| 1710587605 | Jordan Tyler Reed | Pharmacist | 2875 W Mlk Blvd, Fayetteville, AR 72704-7625 | 2020-10-29 |
| 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.