JACK BRIAN HALL I (NPI# 1740605906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740605906 |
| Entity Type | Individual |
| Full Name | JACK BRIAN HALL I |
| Credential | RPH |
| Practice Address |
3360 Front St Winnsboro LA 71295-6487 |
| Practice Telephone | 3184359011 |
| Mailing Telephone | 3184359011 |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2014-02-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 13626 | LA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285269662 | Jack Reynolds Hall IIi | Specialist/Technologist | 6339 Middle Ground Rd, Statesboro, GA 30461-8434 | 2020-03-06 |
| 1669930145 | Jack Tyson Hall | Nurse Practitioner | 400 Taylor Rd, Montgomery, AL 36117-3512 | 2019-03-04 |
| 1619284239 | Jack E Hall | Physician Assistant | 121 S Crescent Dr, Pueblo West, CO 81007-5434 | 2010-09-02 |
| 1639228331 | Jack Grey Hall | Optometrist | 3801 Pelandale Ave, Modesto, CA 95356-8300 | 2007-01-10 |
| 1558337857 | Jack J Hall | Internal Medicine | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 | 2006-02-27 |
| 1881676427 | Jack E Hall Jr. | Physician Assistant | 100 Mercy Way, Ste 430, Joplin, MO 64804-4524 | 2005-11-18 |
| Street Address |
3360 FRONT ST |
| City | WINNSBORO |
| State | LA |
| Zip Code | 71295-6487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326065665 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3360 Front St, Winnsboro, LA 71295-6487 | 2006-07-16 |
| 1700367307 | Matthew Robert Petit | Pharmacist | 3360 Front St, Winnsboro, LA 71295-6487 | 2018-08-22 |
| 1922527936 | Timothy Derek Hardy | Pharmacy | 3360 Front St, Winnsboro, LA 71295-6487 | 2017-09-12 |
| 1104296144 | Ronald Franklin | Pharmacist | 3360 Front St, Winnsboro, LA 71295-6487 | 2015-10-02 |
| 1912085150 | Wal-mart Stores Louisiana, LLC | Technician/Technologist | 3360 Front St, Winnsboro, LA 71295-6487 | 2006-11-02 |
| 1326152257 | Albert Charles Burns Jr. | Optometrist | 3360 Front St, Winnsboro, LA 71295-6487 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295365963 | Allyson Maxwell | Speech-Language Pathologist | 2330 Hwy La 15, Winnsboro, LA 71295 | 2020-01-22 |
| 1326564311 | Geaux Fit of La LLC | Physical Therapist | 3630 Front St, Winnsboro, LA 71295 | 2017-08-21 |
| 1407372220 | Pauline T Powell | Case Manager/Care Coordinator | 920 Maple St, Winnsboro, LA 71295 | 2017-08-15 |
| 1831613801 | Desi D Hoard | Counselor | 2513 Martin Dr., Winnsboro, LA 71295 | 2017-08-01 |
| 1174975213 | Tanya Grant | Case Manager/Care Coordinator | 2411 Gary St, Winnsboro, LA 71295 | 2016-07-12 |
| 1285085050 | Casey Ryan | Physical Therapist | 6340 Hwy 4, Winnsboro, LA 71295 | 2016-06-23 |
| 1003264649 | Ta'erica Manuel | Counselor | 1113 Lavender Dr, Winnsboro, LA 71295 | 2016-05-24 |
| 1073969168 | Ladill Majors | Counselor | 1459 Highway 618, Winnsboro, LA 71295 | 2016-05-09 |
| 1386090587 | Lakeisha Crockett | Case Manager/Care Coordinator | 2406c West St, Winnsboro, LA 71295 | 2016-05-06 |
| 1982064069 | Refford Oliver Sr. | Counselor | 2406 West St, Winnsboro, LA 71295 | 2016-03-02 |
| Find all providers in zip 71295 | ||||
| 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 |
|---|---|---|---|---|
| 1992171854 | Laleisha Cohen | Pharmacist | 64 Rocky One Rd, Winnsboro, SC 29180-7092 | 2015-08-14 |
| 1417356593 | Cynthia Gahagan | Pharmacist | 3326 Front St Ste D, Winnsboro, LA 71295-6406 | 2014-08-14 |
| 1306257779 | Marianna Cristina Wagner | Pharmacist | 721 Us Highway 321 Byp S, Winnsboro, SC 29180-6326 | 2014-05-19 |
| 1396155743 | Estelle R Brown | Pharmacist | 721 Us Highway 321 Byp S Unit 1, Winnsboro, SC 29180-6326 | 2014-05-06 |
| 1720403025 | Delynn Eubanks | Pharmacist | 300 Rose Ave, Winnsboro, LA 71295-2034 | 2014-02-23 |
| 1619214038 | Thomas Pressly Castles Jr. | Pharmacist | 259 Cedar Ct Ext, Winnsboro, SC 29180-5955 | 2013-01-04 |
| 1710237268 | Elizabeth Caulder | Pharmacist | 27 Us Hwy 321 Bypass South, Winnsboro, SC 29180 | 2012-09-12 |
| 1346598224 | William Rupert Mccamy Sr. | Pharmacist | 27 Us Highway 321 Byp S, Winnsboro, SC 29180-7191 | 2012-08-27 |
| 1710295258 | Stanley Ray Mixon | Pharmacist | 8549 Highway 17, Winnsboro, LA 71295-5425 | 2010-09-17 |
| 1710073184 | Winnsboro Drug Store, Inc. | Pharmacist | 1213 Common St, Winnsboro, LA 71295-2609 | 2006-10-05 |
| Find all providers in WINNSBORO | ||||
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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.