Jillian Rachelle Stroud, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PD12368 Issued in AR

Practice address

3006 West 28TH Avenue
Pine Bluff, AR 71603-9675

Phone

(870) 489-1612

Fax

(870) 850-0177

NPI assigned

Jul 9, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• SCPG Arkansas LLC

  • Community/Retail Pharmacy
  • Pine Bluff, AR
  • NPI 1578995007
  NPD
• SCPG Arkansas LLC

  • Community/Retail Pharmacy
  • Pine Bluff, AR
  • NPI 1528463775
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1619318490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 WEST 28TH AVENUE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716039675",
            "telephone_number": "870-489-1612",
            "fax_number": "870-850-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 WEST 28TH AVENUE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716039675",
            "telephone_number": "870-489-1612",
            "fax_number": "870-850-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROUD",
        "first_name": "JILLIAN",
        "middle_name": "RACHELLE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-09",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD12368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jimmy Rex Stocks, CRNA
• Emily Grace Stover- Hedden, PHARM.D.
• Mike Stover, PHARM.D
• Ashley Stratton
• Dana Strickland
• Super D Drugs Acquisition Co
• Superior Counseling, LLC
• Superiorhealthcare&Housecleaning Services
• Supermarket Investors Inc
• Surgeons of South Arkansas, PA

• Pharmacist in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.