IMI MVERE (NPI# 1942776265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942776265 |
| Entity Type | Individual |
| Full Name | IMI MVERE |
| Practice Address |
178 Highway 167 N Bald Knob AR 72010-4058 |
| Mailing Address |
Po Box 211 Ward AR 72176-0211 |
| Practice Telephone | 5017242391 |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2018-10-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PD14636 | AR | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | ARKANSAS STATE PHARMACIST LICENSE | PD14636 | 01 |
| Street Address |
178 HIGHWAY 167 N |
| City | BALD KNOB |
| State | AR |
| Zip Code | 72010-4058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710948419 | Arcare | Clinic/Center | 178 Highway 167 N, Bald Knob, AR 72010-4058 | 2006-03-31 |
| 1043840549 | Matthew Rodgers | Nurse Practitioner | 178 Highway 167 N, Bald Knob, AR 72010-4058 | 2020-01-23 |
| 1992272397 | Taylor Victoria Borne | Pharmacist | 178 Highway 167 N, Bald Knob, AR 72010-4058 | 2018-10-24 |
| 1538689203 | Kristin Wood | Nurse Practitioner | 178 Highway 167 N, Bald Knob, AR 72010-4058 | 2017-06-23 |
| 1033659677 | Kari Chapman | Nurse Practitioner | 178 Highway 167 N, Bald Knob, AR 72010-4058 | 2017-03-01 |
| 1861945149 | Shelly Rutledge | Pharmacist | 178 Highway 167 N, Bald Knob, AR 72010-4058 | 2016-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023668845 | Alice Longacre | Technician | 173 Prince Cemetery Road, Bald Knob, AR 72010 | 2019-09-13 |
| 1407327604 | Wallace Chiropractic Clinic LLC | Chiropractor | 430 S Elm St, Bald Knob, AR 72010 | 2018-12-16 |
| 1801245295 | Wallace Chiropractic Clinic | Chiropractor | 430 S. Elm St, Bald Knob, AR 72010 | 2016-06-07 |
| 1689898330 | City of Bald Knob | Ambulance | 3713 Hwy 367 N, Bald Knob, AR 72010 | 2007-04-12 |
| 1871505800 | Sidney Layman Smith Jr. | Dentist | 1702 Hwy. 367 North, Bald Knob, AR 72010 | 2006-08-11 |
| 1578819405 | Monica M Bomar | Physician Assistant | Po Box 456, Bald Knob, AR 72010-0456 | 2012-07-30 |
| 1003889148 | Denver R Wallace | Chiropractor | 430 South Elm Street, Bald Knob, AR 72010-1177 | 2006-02-09 |
| 1982028270 | Taylor Wallace | Chiropractor | 430 South Elm Street, Bald Knob, AR 72010-1177 | 2014-02-07 |
| 1710068218 | Paul Andrew Teed | Dentist | 2811 Hwy. 367 N., Bald Knob, AR 72010-1360 | 2006-10-18 |
| 1770619645 | Bald Knob Special School District | Speech-Language Pathologist | 103 W Park Ave, Bald Knob, AR 72010-3162 | 2007-02-26 |
| Find all providers in zip 72010 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992272397 | Taylor Victoria Borne | Pharmacist | 178 Highway 167 N, Bald Knob, AR 72010-4058 | 2018-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235755497 | Shannon Mcelroy | Pharmacist | 300 I-40 Service Rd, West Memphis, AR 72301 | 2020-06-23 |
| 1306485545 | Ryan Adams | Pharmacist | 20820 I-30 North, Benton, AR 72019 | 2020-01-06 |
| 1982243655 | Amanda Reynolds | Pharmacist | 6929 Jfk Blvd Ste 5, North Little Rock, AR 72116-5397 | 2019-12-30 |
| 1336788074 | Melissa Ann Vail | Pharmacist | 6929 John F Kennedy Blvd Ste 5, North Little Rock, AR 72116-5397 | 2019-12-28 |
| 1174161475 | Mary Williams | Pharmacist | 300 I-40 Service Road, West Memphis, AR 72301 | 2019-12-17 |
| 1215575964 | Jill Madonia Frazier | Pharmacist | 2 Coffee Pot Ln, Little Rock, AR 72202-1624 | 2019-12-12 |
| 1851938732 | Jerald Christopher Hailey | Pharmacist | 8415 W Markham St Ste B, Little Rock, AR 72205-2496 | 2019-12-10 |
| 1184261174 | Ashley Nicole Norton | Pharmacist | 4403 Camp Robinson Rd Ste A, North Little Rock, AR 72118-3699 | 2019-12-09 |
| 1205344678 | Whitney Woodward Campbell | Pharmacist | 1848 W Main St, Cabot, AR 72023-2745 | 2018-01-18 |
| 1659807691 | Janna Hawthorne | Pharmacist | 900 S Shackleford Rd Ste 501, Little Rock, AR 72211-3847 | 2017-05-11 |
| Find all providers with the same taxonomy | ||||
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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.