Active NPI
Corinna Mishal Celoso, PHARMD
- Pharmacist
- Bryant, AR
National Provider Identifier
1437825148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD15888
- Practice address
- 400 Bryant Ave
Bryant, AR 72022-3813 - Phone
- (501) 847-4615
- Fax
- (501) 847-7693
- NPI assigned
- Aug 22, 2021
- 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 | PD15888 | AR | Primary |
Addresses
Primary practice location
400 Bryant Ave
Bryant, AR 72022-3813
Mailing address
400 Bryant Ave
Bryant, AR 72022-3813
Phone (501) 847-4615
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 |
|---|---|---|---|
| PD15888 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708387200000",
"number": "1437825148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 BRYANT AVE",
"city": "BRYANT",
"state": "AR",
"postal_code": "720223813",
"telephone_number": "501-847-4615",
"fax_number": "501-847-7693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 BRYANT AVE",
"city": "BRYANT",
"state": "AR",
"postal_code": "720223813",
"telephone_number": "501-847-4615",
"fax_number": "501-847-7693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CELOSO",
"first_name": "CORINNA",
"middle_name": "MISHAL",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-22",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD15888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bryant, AR
- Kenna Cassat, PHARMD
- Sarah Grace Castleberry
- Sara E Cates
- Jerry N Cavaneau, M.D.
- Yara Guadalupe Cazares Lopez
- Center for Regenerative Medicine PA (Clearstone Medical Center)
- Central Arkansas Family Practice
- Central Arkansas Treatment Services, LLC
- Central Arkansas Vision Care, P.a.
- Leslie Carol Chambers, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.