MR. MICHAEL DAMON BROWN (NPI# 1801808191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801808191 |
Entity Type | Individual |
Full Name | MR. MICHAEL DAMON BROWN |
Credential | P.D. |
Practice Address |
204 Linebarger Ln Bentonville AR 72712-3910 |
Practice Telephone | 4794511112 |
Practice Fax Number | 4794518634 |
Mailing Telephone | 4794511112 |
Mailing Fax Number | 4794518634 |
Enumeration Date | 2006-08-13 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | PD07422 | AR | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265092894 | Michael Andrew Brown | Student in an Organized Health Care Education/Training Program | 3990 John R, Detroit, MI 48201 | 2019-06-17 |
1265903652 | Michael S Brown | Internal Medicine | 5323 Harry Hines Blvd Rm L5.238, Dallas, TX 75390-9046 | 2018-12-10 |
1558830125 | Michael Brown | Counselor | 1502 W Nc-54, Suite 505, Durham, NC 27707 | 2018-11-13 |
1689140782 | Michael Hamrick Brown Jr. | Dentist | Ph-usc Medical Group Dentistry, 10 Medical Park, Columbia, SC 29203 | 2018-10-17 |
1487138103 | Michael David Brown Jr. | Registered Nurse | 4221 Hillbrook Dr, Louisville, KY 40220-3610 | 2018-09-18 |
1619450954 | Michael Brown | Case Manager/Care Coordinator | 102 S Barstow St, Eau Claire, WI 54701 | 2018-09-12 |
1013408491 | Michael Brown | Technician | 2102 Savannah Ter Se # 4, Washington, DC 20020-2128 | 2018-05-22 |
1730695230 | Michael Edward Brown | Pharmacist | 1038 Abeto Ct, Chula Vista, CA 91910-8002 | 2017-12-19 |
1881109767 | Michael Anthony Brown | Assisted Living Facility | 7940 Little Dipper Ave, Anchorage, AK 99504-4125 | 2017-12-13 |
1083135537 | Michael Brown | Behavioral Analyst | 45 Lindsey Ln, Stafford, VA 22556-1286 | 2017-07-05 |
Street Address |
204 LINEBARGER LN |
City | BENTONVILLE |
State | AR |
Zip Code | 72712-3910 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427662345 | Bentonville Ambulatory Surgery Center, LLC | Pain Medicine | 2902 We Mid-cities Dr, Bentonville, AR 72712 | 2020-09-08 |
1942837059 | Amy Crumpton | Counselor | 3504 Se Riveria Road, Bentonville, AR 72712 | 2020-03-26 |
1295361509 | Unbridled Holdings LLC | Physical Therapy Assistant | 9900 Price Coffee Rd, Bentonville, AR 72712 | 2020-03-18 |
1649803552 | Hanna Kathryn Baxendale | Pediatrics | 2900 Medical Pkwy, Ste #370, Bentonville, AR 72712 | 2020-02-19 |
1740746635 | Meredith C Hodges | Counselor | 2508 Se 2oth St, Bentonville, AR 72712 | 2019-02-15 |
1609352566 | Tripharma Inc | Pharmacy | 3500 Sw Regional Airport Blvd Ste 2, Bentonville, AR 72712 | 2018-07-13 |
1811406747 | Upspring Therapy, LLC | Counselor | 2106 Sw Walton Blvd, Suite B, Bentonville, AR 72712 | 2017-09-22 |
1023536836 | Charlotte Yuvonne Hoyle | Case Manager/Care Coordinator | 2005 S.e Walton Blvd., Bentonville, AR 72712 | 2017-08-31 |
1508399502 | Rosanna Nicole Rephan | Nurse Practitioner | 3101 14th St, Mercy Convenient Care, Bentonville, AR 72712 | 2017-04-06 |
1417305517 | Charlotte Lennette Stephenson | Behavioral Analyst | 2005 S.e. Walton Blvd., Bentonville, AR 72712 | 2016-05-31 |
Find all providers in zip 72712 |
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 |
1164471785 | Laura Lovrien | Pharmacist | 508 Sw 8th St, Bentonville, AR 72716 | 2006-05-09 |
Find all providers in BENTONVILLE |
City | BENTONVILLE |
Zip Code | 72712 |
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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.