Active NPI
Elizabeth L Tuberville
- Pharmacist
- Camden, AR
National Provider Identifier
1083785299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD09500
- Practice address
- 1005 W Washington St
Camden, AR 71701-3828 - Phone
- (870) 836-9303
- NPI assigned
- Nov 10, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD09500 | AR | Primary |
Addresses
Primary practice location
1005 W Washington St
Camden, AR 71701-3828
Mailing address
3295 Ouachita 3
Camden, AR 71701-9206
Phone (870) 837-1370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD09500 | AR | MD | Pharmacist |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083785299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3295 OUACHITA 3",
"city": "CAMDEN",
"state": "AR",
"postal_code": "717019206",
"telephone_number": "870-837-1370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 W WASHINGTON ST",
"city": "CAMDEN",
"state": "AR",
"postal_code": "717013828",
"telephone_number": "870-836-9303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUBERVILLE",
"first_name": "ELIZABETH",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD09500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camden, AR
- Stephanie Yolanda Thompson
- Timbland Dental
- Touch of Health Care Therapy
- Trinity Home Health of Southern Arkansas, LLC (Doctors Home Care)
- Cimenga M Tshibaka, M.D.
- Macy Turner, COTA
- Twin Rivers Respiratory Care, Inc. (Ouachita Valley Respiratory Care)
- Hillary Osita Udeh, MD
- Leslie Nicole Vaughan
- Steven W Vaughan, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.