Active NPI
Maddison Elaine Schuller, PHARMD
- Pharmacist
- Benton, AR
National Provider Identifier
1104499201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD15761
- Practice address
- 620 W South St
Benton, AR 72015-4258 - Phone
- (501) 778-3151
- NPI assigned
- Jul 19, 2021
- Sex
- Female
- Sole proprietor
- No
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 | PD15761 | AR | Primary |
Addresses
Primary practice location
620 W South St
Benton, AR 72015-4258
Mailing address
13296 Edmington CV
Alexander, AR 72002-7298
Phone (479) 216-6028
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD15761 | AR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626652800000",
"number": "1104499201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13296 EDMINGTON CV",
"city": "ALEXANDER",
"state": "AR",
"postal_code": "720027298",
"telephone_number": "479-216-6028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 W SOUTH ST",
"city": "BENTON",
"state": "AR",
"postal_code": "720154258",
"telephone_number": "501-778-3151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULLER",
"first_name": "MADDISON",
"middle_name": "ELAINE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-19",
"last_updated": "2021-07-19",
"certification_date": "2021-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD15761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Benton, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.