DR. MICHELLE MARIE HENDERSON (NPI# 1710262969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710262969 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE MARIE HENDERSON |
| Credential | PHARMD |
| Practice Address |
15500 Chenal Parkway Little Rock AR 72211 |
| Practice Telephone | 5012173872 |
| Practice Fax Number | 5012179824 |
| Mailing Telephone | 5012173872 |
| Mailing Fax Number | 5012179824 |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2011-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PD10536 | AR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477029015 | Michelle Henderson | Home Health | 100 Court St Se Ste 212, Live Oak, FL 32064-3203 | 2018-10-22 |
| 1083162762 | Michelle Henderson | Registered Nurse | 1175 County Road 459, Heflin, AL 36264-4090 | 2016-09-12 |
| 1285180026 | Michelle Odum Henderson | Behavioral Analyst | 5566 Main St Ste 150, Frisco, TX 75033-3674 | 2016-08-31 |
| 1730580903 | Michelle Christine Henderson | Counselor | 18221 102nd Ave Ne, Bothell, WA 98011-3466 | 2014-09-08 |
| 1316387004 | Michelle Finn Henderson | Occupational Therapist | 3057 Lorna Rd, Suite 220, Birmingham, AL 35216-4514 | 2013-06-27 |
| 1831462696 | Michelle P Henderson | Student in an Organized Health Care Education/Training Program | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2012-02-09 |
| 1417240060 | Michelle Lee Henderson | Nurse Practitioner | 406 N Willow St, Harrison, AR 72601-3517 | 2011-05-16 |
| 1841427978 | Michelle Reina Bosley Henderson | Pediatrics | 2000 S 900 E, Salt Lake City, UT 84105-3208 | 2009-06-16 |
| 1235304841 | Michelle Viola Henderson | Specialist | 29 Chester Pike, Collingdale, PA 19023-2035 | 2008-04-24 |
| 1326233842 | Michelle A Henderson | Counselor | 439 Breeze St, Suite 200, Craig, CO 81625-2650 | 2007-09-07 |
| Street Address |
15500 CHENAL PARKWAY |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004618 | Samantha Lenore Hilborn | Behavior Technician | 1525 Merrill Drive Suite 100, Little Rock, AR 72211 | 2020-05-14 |
| 1003437740 | Centers for Youth and Families, Inc. | Community/Behavioral Health | 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 | 2020-05-05 |
| 1962040568 | Erica N Taylor | Nurse Practitioner | 11800 Financial Center Parkway, Ste 290, Little Rock, AR 72211 | 2019-12-13 |
| 1568932119 | Katie Jones | Nurse Practitioner | 1children's Way, Little Rock, AR 72211 | 2018-11-27 |
| 1356828651 | Kayleigh King | Dietitian, Registered | 4 Shackleford Plz Ste 209, Little Rock, AR 72211 | 2018-07-19 |
| 1699283838 | Kara Elizabeth Simmons | Physician Assistant | 11215 Hermitage Rd Ste 103, Little Rock, AR 72211 | 2018-01-22 |
| 1194241463 | Wendy Newsam Pllc | Counselor | 1 Innwood Circle, Suite 107, Little Rock, AR 72211 | 2017-08-18 |
| 1861915159 | Sarah Renee Beall | Counselor | 10800 Financial Centre #290, Little Rock, AR 72211 | 2017-07-19 |
| 1457873127 | Restore Hope Counseling Center, Pllc | Counselor | One Innwood Circle, Suite 201, Little Rock, AR 72211 | 2017-07-13 |
| 1447707500 | University of Arkansas for Medical Sciences | Durable Medical Equipment & Medical Supplies | 601 Autumn Road, Little Rock, AR 72211 | 2016-09-07 |
| Find all providers in zip 72211 | ||||
| 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 |
|---|---|---|---|---|
| 1588203236 | Amanda Jill Dixon | Pharmacist | 1800 Riverfront Dr, Little Rock, AR 72202-1882 | 2019-12-29 |
| 1952949471 | Tony Wayne Wilson | Pharmacist | 4409 Stone Creek Cv, Little Rock, AR 72210-4954 | 2019-12-16 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1386280691 | Baptist Health | Pharmacist | 9600 Baptist Health Dr Ste 260, Little Rock, AR 72205-6373 | 2019-11-21 |
| 1851944698 | Rachael Lynette Perkins | Pharmacist | 4301 Atwood Rd, Little Rock, AR 72206 | 2019-07-22 |
| 1255998514 | Gene Peter Dalton Herzig | Pharmacist | 904 Autumn Rd Ste 275, Little Rock, AR 72211-3745 | 2019-05-22 |
| 1366901191 | Nicholas Marks Grunewald | Pharmacist | 210 Congressional Cir, Little Rock, AR 72210-2832 | 2019-03-19 |
| 1073081196 | Carlettee Stephens Seng | Pharmacist | 53 Flintwood Dr, Little Rock, AR 72227-5855 | 2018-11-06 |
| 1720576994 | Corey Hayes | Pharmacist | 4301 W Markham St # 755, Little Rock, AR 72205-7101 | 2018-04-24 |
| 1427577436 | Susan Amanda Schee | Pharmacist | 15400 Chenal Pkwy Ste 100, Little Rock, AR 72211-2016 | 2017-09-12 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72211 |
Please comment or provide details below to improve the information on DR. MICHELLE MARIE HENDERSON.
| 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.