PHILIP ALLEN MEDARIES (NPI# 1881953099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881953099 |
| Entity Type | Individual |
| Full Name | PHILIP ALLEN MEDARIES |
| Practice Address |
6280 Highway 3 Benton LA 71006-3492 |
| Mailing Address |
613 Placid Pt Bossier City LA 71111-8403 |
| Practice Telephone | 3189653669 |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2012-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 15514 | LA | Pharmacy Service Providers |
| Street Address |
6280 HIGHWAY 3 |
| City | BENTON |
| State | LA |
| Zip Code | 71006-3492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942373410 | Brookshire Grocery Company | Pharmacy | 6280 Highway 3, Attention Pharmacy Dept, Benton, LA 71006-3492 | 2006-11-15 |
| 1669854253 | Dao B Kha | Pharmacist | 6280 Highway 3, Benton, LA 71006-3492 | 2015-06-19 |
| 1407101074 | Ryan Jones | Pharmacist | 6280 Highway 3, Benton, LA 71006-3492 | 2012-07-19 |
| 1659630788 | Aaron Mabou | Pharmacist | 6280 Highway 3, Benton, LA 71006-3492 | 2012-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450517 | Just Health | Clinic/Center | 7076 La-3, Benton, LA 71006 | 2020-06-02 |
| 1982819678 | Robert Carroll Denmon | Pharmacist | 5604 Hwy 3, Freds Pharmacy # 1534, Benton, LA 71006 | 2007-05-14 |
| 1326174202 | David W Loftin | Pharmacist | 5604 Benton Rd, Benton, LA 71006 | 2007-02-26 |
| 1720163587 | Wayne Holden Marionneaux | Dentist | 192 Burt Blvd, Bentone, LA 71006 | 2006-10-27 |
| 1558478925 | Freds Stores of Tennessee Inc | Pharmacy | 5604 Hwy 3, Benton, LA 71006 | 2006-08-23 |
| 1861404683 | Rolling Rehab LLC | Physical Therapist | 115 Hunt Rd, Benton, LA 71006-3469 | 2006-08-12 |
| 1932327608 | Shanna D. Johnson | Physical Therapist | 115 Hunt Rd, Benton, LA 71006-3469 | 2007-04-20 |
| 1194134452 | Margaret B Rutledge | Social Worker | 2018 Pine Ridge Way, Benton, LA 71006-3488 | 2014-08-11 |
| 1831117670 | Christy Leah Gonzalez | Occupational Therapist | 113 Lone Oak St, Benton, LA 71006-3928 | 2006-07-18 |
| 1700194438 | Loretta Sermon | Occupational Therapist | 228 Cypress Lake Cir, Benton, LA 71006-4304 | 2010-09-15 |
| Find all providers in zip 71006 | ||||
| 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 |
|---|---|---|---|---|
| 1346841517 | Samuel Wolf | Pharmacist | 17309 Interstate 30 S, Benton, AR 72015-2927 | 2020-11-04 |
| 1386244838 | Dana L Henson | Pharmacist | 3958 Hampton Dr, Benton, AR 72019-7609 | 2020-10-26 |
| 1154942845 | Blake Torres | Pharmacist | 501 W Sevier St, Benton, AR 72015-4215 | 2020-05-04 |
| 1649819962 | Josh Landrum | Pharmacist | 20820 I 30 N, Benton, AR 72019 | 2020-01-03 |
| 1295296614 | Harrison Family Pharmacy, P.l.l.c. | Pharmacist | 2323 N Highway 229 Ste A, Benton, AR 72015-7202 | 2019-03-28 |
| 1881170751 | Tim Grifford | Pharmacist | 1220 Curtis Ln, Benton, AR 72019-8358 | 2018-07-13 |
| 1194219410 | Tim James Finley | Pharmacist | 1016 W South St Ste 1, Benton, AR 72015-4074 | 2018-06-20 |
| 1073023099 | Charlotte K Moss | Pharmacist | 4375 Red Rock Rd, Benton, PA 17814-7948 | 2017-10-04 |
| 1073862843 | Elisha Dougherty | Pharmacist | 1004 Big Bear Hwy, Benton, KY 42025 | 2012-09-07 |
| 1578869228 | James Richard Mccollum | Pharmacist | 1102 N Maple St, Benton, IL 62812-1034 | 2011-01-27 |
| Find all providers in BENTON | ||||
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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.