MR. TYLER ALAN SOO


Address: 2822 East Nettleton Avenue, Jonesboro, AR 72401
Phone: 8709326930

MR. TYLER ALAN SOO (NPI# 1942727730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942727730
Entity Type Individual
Full Name MR. TYLER ALAN SOO
Credential PHARM.D
Practice Address 2822 East Nettleton Avenue
Jonesboro
AR 72401
Practice Telephone 8709326930
Practice Fax Number 8709321378
Mailing Telephone 8709326930
Mailing Fax Number 8709321378
Enumeration Date 2017-08-23
Last Update Date 2017-08-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist PD14074 AR Pharmacy Service Providers

Office Location

Street Address 2822 EAST NETTLETON AVENUE
City JONESBORO
State AR
Zip Code 72401

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407453368 Mariah Kay Jackson Physical Therapy Assistant Creative Kids Therapy, Jonesboro, AR 72401 2020-10-05
1821606005 Kafayat Folake Iyanda Specialist/Technologist 2105 East Aggie Rd, Jonesboro, AR 72401 2020-07-14
1053936310 Josh Roberts Physical Therapist 1010 South Main St, Jonesboro, AR 72401 2020-06-12
1003449687 Amy Mary Elizabeth Daughhetee Nurse Practitioner 225 East Washington Ave, Jonesboro, AR 72401 2020-02-21
1871126698 Sarah Lowtharp Clinical Nurse Specialist 225 East Washington Ave., Jonesboro, AR 72401 2020-02-20
1891335519 Mallori Miller Case Manager/Care Coordinator 837 Willett Rd, Jonesboro, AR 72401 2020-01-10
1265073704 Michael Bruce Collie Registered Nurse 837 Williett Road, Jonesboro, AR 72401 2019-10-07
1285283432 Jonesboro Ambulatory Surgery Center, LLC Clinic/Center 1710 Mayfield Dr, Jonesboro, AR 72401 2019-09-10
1841843943 Destinee Katrina Cole Specialist/Technologist 2015 Aggie Rd, Jonesboro, AR 72401 2019-07-18
1699250472 Jessica Marie Mcnatt Occupational Therapist 907 County Road 753, Jonesboro, AR 72401 2018-09-27
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720689219 Olubunmi Adeniyi Pharmacist 524 Serene Waters Trl, Jonesboro, GA 30236-5495 2020-11-03
1811493877 James Blake Richardson Pharmacist 1112 Windover Rd, Jonesboro, AR 72401-6038 2018-03-30
1972954550 Purvis Glen Nash Pharmacist 700 Holley Dr, Jonesboro, LA 71251-3021 2016-06-25
1295195949 Daniel James Irwin Pharmacist 6424 County Road 333, Jonesboro, AR 72401-0364 2016-02-23
1790155661 Shewanda L Vines Pharmacist 7267 Tara Blvd, Jonesboro, GA 30236-1901 2015-10-04
1679978043 Kristy Reed Pharmacist 1000-a East Matthews Ave., Jonesboro, AR 72401 2014-10-28
1750786257 Melanie Weathers Pharmacist 1000 E Matthews Ave Ste A, Jonesboro, AR 72401-4344 2014-10-27
1588006167 Mallory Morgan Pharmacist 2015 Harwood Dr, Jonesboro, AR 72404-9100 2013-07-23
1053751784 Benjamin Brent Washam Pharmacist 992 Links Dr Apt 8, Jonesboro, AR 72404-0791 2013-06-26
1184063406 Preston Jett Jones Pharmacist 325 Southwest Dr Ste A, Jonesboro, AR 72401-5854 2013-06-19
Find all providers in JONESBORO

Competitor

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City JONESBORO
Zip Code 72401

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Dataset Information

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.

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