DORIS KOM (NPI# 1750764635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750764635 |
| Entity Type | Individual |
| Full Name | DORIS KOM |
| Practice Address |
1100 E Main St Russellville AR 72801-5319 |
| Practice Telephone | 4799671573 |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PD12119 | AR | Pharmacy Service Providers |
| Street Address |
1100 E MAIN ST |
| City | RUSSELLVILLE |
| State | AR |
| Zip Code | 72801-5319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013528678 | Marla Nutt | Pharmacist | 1100 E Main St, Russellville, AR 72801-5319 | 2020-08-16 |
| 1174938955 | Mallory Pate | Pharmacist | 1100 E Main St, Russellville, AR 72801-5319 | 2014-06-30 |
| 1760737597 | Minh Nguyen | Pharmacist | 1100 E Main St, Russellville, AR 72801-5319 | 2012-07-18 |
| 1447533617 | Sarah Mccoy | Pharmacist | 1100 E Main St, Russellville, AR 72801-5319 | 2011-09-23 |
| 1780967018 | Kimberly Kristen Forester | Pharmacist | 1100 E Main St, Russellville, AR 72801-5319 | 2011-09-22 |
| 1417230749 | David Alan Turner | Pharmacist | 1100 E Main St, Russellville, AR 72801-5319 | 2011-09-22 |
| 1548543986 | Alexander Brown | Pharmacist | 1100 E Main St, Russellville, AR 72801-5319 | 2011-09-22 |
| 1164449591 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1100 E Main St, Russellville, AR 72801-5319 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002782 | Randy Paul Stayton | Pharmacist | 2109 W Main, Russellville, AR 72801 | 2020-10-30 |
| 1871134825 | Just Spreading Love Senior Care LLC | Student in an Organized Health Care Education/Training Program | 1411 N. Pittsburg Avenue, Russellville, AR 72801 | 2019-10-01 |
| 1124670369 | Richard L Morgan Dds Pa | Dentist | 1700 West C Place, Russellville, AR 72801 | 2019-07-09 |
| 1407342371 | Andrew James Hickman | Optometrist | 2711 E Parkway Drive, Russellville, AR 72801 | 2018-07-03 |
| 1154859833 | Felicia Head | Speech-Language Pathologist | 220 W 10th St., Russellville, AR 72801 | 2017-05-25 |
| 1295281293 | Arkansas Liver and Gastroenterology, P.a. | Internal Medicine | 1605 West Main Street, Russellville, AR 72801 | 2016-08-30 |
| 1467802405 | Kah Development 4, LLC | Hospice Care, Community Based | 3801 W Main St Ste A, Russellville, AR 72801 | 2016-06-21 |
| 1871904839 | Sleep Partners, LLC | Clinic/Center | 1310 West B Street, Suite A, Russellville, AR 72801 | 2014-05-13 |
| 1942647029 | Rpi Sleep Complete LLC | Clinic/Center | 1310 West Main Street, Suite 201, Russellville, AR 72801 | 2013-05-29 |
| 1184967291 | Amedco Arkansas Pllc | Optometrist | 302 N. Phoenix Ave., Clark Eye Clinic, Russellville, AR 72801 | 2013-03-27 |
| Find all providers in zip 72801 | ||||
| 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 |
|---|---|---|---|---|
| 1962002782 | Randy Paul Stayton | Pharmacist | 2109 W Main, Russellville, AR 72801 | 2020-10-30 |
| 1356975890 | William John Cobb | Pharmacist | 108 Skyline Dr Ste B, Russellville, AR 72801-3306 | 2020-02-24 |
| 1902384720 | Randy Wade Gooch | Pharmacist | 13675 Us-43, Russellville, AL 35653 | 2018-08-02 |
| 1700301470 | Carole Ann Montgomery | Pharmacist | Walmart Pharmacy, 13675 Us-43, Russellville, AL 35653 | 2017-08-03 |
| 1700260619 | Nikki Jean Scott | Pharmacist | 100 S Knoxville Ave, Russellville, AR 72801-5315 | 2015-07-10 |
| 1023411220 | Wesley Charles Mayfield | Pharmacist | 14001 Hwy 43 Suite 13, Russellville, AL 35653 | 2014-10-01 |
| 1639425911 | Daniel Lee Emery | Pharmacist | 1405 Nashville St Ste A, Russellville, KY 42276-8850 | 2012-07-24 |
| 1518275080 | Dennis E Wheelus | Pharmacist | 3303 W Main Pl, Russellville, AR 72801-2334 | 2010-09-18 |
| 1154647287 | Jimmy Gregory Lane | Pharmacist | 1369 B George Wallace Highway, Russellville, AL 35654 | 2010-04-14 |
| 1083930572 | Jody Kiel | Pharmacist | 15385 Highway 43, Russellville, AL 35653-8061 | 2010-04-09 |
| Find all providers in RUSSELLVILLE | ||||
| City | RUSSELLVILLE |
| Zip Code | 72801 |
Please comment or provide details below to improve the information on DORIS KOM.
| 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.