Rebecca Lynn Mitchell, PHARM D
Individual provider Active NPI Pharmacist · Paragould, AR
NPI 1760765689 · NPPES record last updated Sep 27, 2011
Key facts
- NPI
- 1760765689
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PD10805 (AR)
- Practice address
- 1500 W Kingshighway
Paragould, AR 72450-4009 - Phone
- (870) 240-8053
- Fax
- (870) 240-8104
- NPI assigned
- Sep 27, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD10805 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past |
Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD10805 | AR | Yes |
Addresses
Primary practice location
1500 W Kingshighway
Paragould, AR 72450-4009
Mailing address
4301 Sage Meadows Blvd
Jonesboro, AR 72401-8032
Phone (501) 352-5298
Other providers in Paragould, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.