MR. TIMOTHY ROBERT KOCH (NPI# 1700075835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700075835 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY ROBERT KOCH |
| Credential | R.PH |
| Practice Address |
702 Sw 8th St Bentonville AR 72716-6209 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716 |
| Practice Telephone | 4792048627 |
| Practice Fax Number | 4792738675 |
| Mailing Telephone | 4792048627 |
| Mailing Fax Number | 4792738675 |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2007-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 044203 | MO | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104801729 | Timothy Richard Koch | Internal Medicine | 106 Irving St Nw Ste 301, Washington, DC 20010 | 2005-12-07 |
| 1497784847 | Timothy C Koch | Emergency Medicine | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2006-06-30 |
| Street Address |
702 SW 8TH ST |
| City | BENTONVILLE |
| State | AR |
| Zip Code | 72716-6209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669491643 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 702 Sw 8th St, Bentonville, AR 72712-6209 | 2006-07-19 |
| 1568063436 | Deanna Worth | Pharmacist | 702 Sw 8th St, Bentonville, AR 72712 | 2020-11-05 |
| 1336740703 | Angela Michelle Milam | Pharmacist | 702 Sw 8th St, Bentonville, AR 72712-6209 | 2020-11-03 |
| 1710587324 | Sylvia C Kabura | Pharmacist | 702 Sw 8th St, Bentonville, AR 72716-6209 | 2020-11-01 |
| 1821613498 | Dadrion Annette Gaston | Pharmacist | 702 Sw 8th St, Bentonville, AR 72716-6209 | 2020-06-10 |
| 1952883324 | Carissa Fisher | Pharmacist | 702 Sw 8th St, Bentonville, AR 72716-6209 | 2018-09-03 |
| 1043798614 | Darren Keith Townzen | Pharmacist | 702 Sw 8th St, Bentonville, AR 72712-6209 | 2018-08-05 |
| 1750875811 | Jennfer Lynn Garcia | Pharmacist | 702 Sw 8th St, Bentonville, AR 72712-6209 | 2018-06-21 |
| 1245770759 | Wal-mart Stores East, Lp | Technician/Technologist | 702 Sw 8th St, Mail Stop 0445, Bentonville, AR 72716-0445 | 2017-03-02 |
| 1336515477 | George Chapman Jr. | Pharmacist | 702 Sw 8th St, Bentonville, AR 72716-6209 | 2015-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164471785 | Laura Lovrien | Pharmacist | 508 Sw 8th St, Bentonville, AR 72716 | 2006-05-09 |
| 1194040865 | Raja Sekhar Reddy Dondeti | Family Medicine | 701 Sw Regional Airport Blvd, Suite 1, Bentonville, AR 72716-0001 | 2010-04-06 |
| 1376726968 | Smith Fs2 Inc | Durable Medical Equipment & Medical Supplies | 3301 S Walton Blvd, Suite 21, Bentonville, AR 72716-0001 | 2007-12-06 |
| 1447699434 | Mercy Health Northwest Arkansas Communities | Internal Medicine | 701 Sw Regional Airport Blvd, Bentonville, AR 72716-0001 | 2013-06-23 |
| 1720081946 | David Neal Kilgo | Pharmacist | 702 Sw 8th Street, Bentonville, AR 72716-0230 | 2005-05-23 |
| 1457535338 | Sams East Inc | Eyewear Supplier (Equipment, not the service) | 702 Sw 8th Street, Bentonville, AR 72716-0235 | 2007-12-27 |
| 1265616122 | Wal Mart Stores, Inc | Eyewear Supplier (Equipment, not the service) | 702 Sw 8th Street, Bentonville, AR 72716-0235 | 2007-12-27 |
| 1609050590 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 702 Sw 8th Street, Bentonville, AR 72716-0235 | 2007-12-27 |
| 1043494933 | Wal-mart Stores Texas, Lp | Eyewear Supplier (Equipment, not the service) | 702 Sw 8th Street, Bentonville, AR 72716-0235 | 2007-12-27 |
| 1598949455 | Sams West Inc | Eyewear Supplier (Equipment, not the service) | 702 Sw 8th Street, Bentonville, AR 72716-0235 | 2007-12-27 |
| Find all providers in zip 72716 | ||||
| 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 |
|---|---|---|---|---|
| 1417557778 | Megan Dover | Pharmacist | 3505 Cardinal Ln, Bentonville, AR 72712-3965 | 2020-10-27 |
| 1770049694 | Sandra Kinsey | Pharmacist | 17 Darian Dr, Bentonville, AR 72712-3855 | 2019-02-15 |
| 1134636004 | Leslie Duncan | Pharmacist | 3905 Ne Kensington Ave, Bentonville, AR 72712-8936 | 2018-01-02 |
| 1033663695 | James Wilcox | Pharmacist | 2006 Nw Desoto Dr, Bentonville, AR 72712-4467 | 2016-08-11 |
| 1477910289 | Quang B Tran | Pharmacist | 2101 Se Simple Savings Dr, Bentonville, AR 72712-4304 | 2016-01-25 |
| 1932582772 | Heather Sogn | Pharmacist | 906 Sw Regional Airport Blvd, Bentonville, AR 72712-7364 | 2015-06-29 |
| 1700209350 | Lisa Renee Hatfield-baran | Pharmacist | 4005 Sw Banbury Dr, Bentonville, AR 72712-7860 | 2014-01-31 |
| 1699054908 | Julie Sedlacek | Pharmacist | 400 Ne Branchwood Terrace, Bentonville, AR 72712 | 2011-08-04 |
| 1104925825 | Kirk Eugene Milam | Pharmacist | 316 Nw Lasalle Dr, Bentonville, AR 72712-4465 | 2006-09-21 |
| 1801808191 | Michael Damon Brown | Pharmacist | 204 Linebarger Ln, Bentonville, AR 72712-3910 | 2006-08-13 |
| Find all providers in BENTONVILLE | ||||
| City | BENTONVILLE |
| Zip Code | 72716 |
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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.