DR. ALLIE DANIELLE STATON (NPI# 1952949448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952949448 |
| Entity Type | Individual |
| Full Name | DR. ALLIE DANIELLE STATON |
| Credential | PHARMD |
| Practice Address |
620 W South St Benton AR 72015-4258 |
| Mailing Address |
9064 Rolling Hills Dr Alexander AR 72002-2896 |
| Practice Telephone | 5017783151 |
| Mailing Telephone | 5018370811 |
| Enumeration Date | 2019-12-15 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
PD14602 | AR | Pharmacy Service Providers |
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PD14602 | AR | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9064 Rolling Hills Dr, Alexander, AR 720022896 | 5018370811 |
| Street Address |
620 W SOUTH ST |
| City | BENTON |
| State | AR |
| Zip Code | 72015-4258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528464054 | Kacey Jo Kiker | Nurse Practitioner | 620 W South St, Benton, AR 72015 | 2014-11-11 |
| 1912506056 | James Zackary Haley | Pharmacist | 620 W South St, Benton, AR 72015-4258 | 2020-10-20 |
| 1366060576 | West Side Pharmacy, Inc. | Family Medicine | 620 W South St, Benton, AR 72015-4258 | 2020-07-14 |
| 1417579970 | Tammi Sue Haley | Pharmacist | 620 W South St, Benton, AR 72015-4258 | 2020-05-07 |
| 1144870957 | West Side Pharmacy Inc. | Pharmacy | 620 W South St, Benton, AR 72015-4258 | 2019-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
| 1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
| 1396269627 | Abby G Sims | Speech-Language Pathologist | 3391 Peachtree Lane, Benton, AR 72015 | 2017-07-28 |
| 1225551278 | Jessica R Poe | Case Manager/Care Coordinator | 1502 Marykay Blvd, Benton, AR 72015 | 2017-07-21 |
| 1003357997 | Jamaal Langston | Case Manager/Care Coordinator | 1502 Mark Kay Blvd, Benton, AR 72015 | 2017-03-13 |
| 1881138550 | Shannon Gachot-ridgley | Counselor | 205 South Street Suite 3, Benton, AR 72015 | 2016-12-14 |
| 1295104578 | Excel Health of Haskell, Pllc | Clinical Nurse Specialist | 6029 Us Hwy 67, Haskell, AR 72015 | 2015-09-17 |
| 1700218252 | Jamie Brunt | Licensed Practical Nurse | 1718 Old Hot Springs Rd, Benton, AR 72015 | 2013-08-07 |
| 1760738942 | Kari J Richards | Physical Therapist | 5701 Springhill Rd, Bryant, AR 72015 | 2012-07-25 |
| 1265708945 | Tracey Leigh Zeiner | Occupational Therapist | 5701 Springhill Road, Bryant, AR 72015 | 2012-03-28 |
| Find all providers in zip 72015 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194335695 | Amanda Kay Galiano | Pharmacist | 8 Chicot Cv, Maumelle, AR 72113-6352 | 2020-08-09 |
| 1649735499 | Advanced Therapeutic Applications LLC | Pharmacist | 3842 Laurel Ridge, Springdale, AR 72764-1075 | 2019-02-06 |
| 1780936526 | Ginger Allison Kesler | Pharmacist | 123 Blackburn Dr, Little Rock, AR 72211-2168 | 2012-10-03 |
| 1952608861 | Paula Barton | Pharmacist | 5 Copperfield, Bentonville, AR 72712-4095 | 2011-02-13 |
| 1518010396 | Jennifer E Stark | Pharmacist | 5826 Dancing Rabbit Dr, Springdale, AR 72762-6277 | 2007-01-18 |
| 1962512897 | Clinton Thriftway Pharmacy | Pharmacist | 129 Bone St., Clinton, AR 72031-1060 | 2006-08-30 |
| 1649389750 | Michael Chandler | Pharmacist | 2270 Wilmington Dr, Conway, AR 72034-2029 | 2006-08-30 |
| 1104800168 | Charles Clifton Marsh | Pharmacist | 3106 S 106th Cir, Attn: Npi, Fort Smith, AR 72903-5871 | 2005-12-02 |
| 1255836037 | Clarice Montgomery | Pharmacist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2018-03-26 |
| 1518343235 | Lisa Barnes | Pharmacist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2015-08-04 |
| 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.