Active NPI
Allie Danielle Staton, PHARMD
- Pharmacotherapy Pharmacist
- Mabelvale, AR
National Provider Identifier
1952949448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- PD14602
- Practice address
- 13907 High Rd
Mabelvale, AR 72103-3212 - Phone
- (501) 451-7715
- NPI assigned
- Dec 15, 2019
- Last updated
- Nov 4, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | PD14602 | AR | Primary |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PD14602 | AR |
Addresses
Primary practice location
13907 High Rd
Mabelvale, AR 72103-3212
Mailing address
9064 Rolling Hills Dr
Alexander, AR 72002-2896
Phone (501) 837-0811
Other practice location 1
9064 Rolling Hills Dr
Alexander, AR 72002-2896
Phone (501) 837-0811
Other practice location 2
620 W South St
Benton, AR 72015-4258
Phone (501) 778-3151
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 |
|---|---|---|---|
| PD14602 | AR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667520000000",
"number": "1952949448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9064 ROLLING HILLS DR",
"city": "ALEXANDER",
"state": "AR",
"postal_code": "720022896",
"telephone_number": "501-837-0811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13907 HIGH RD",
"city": "MABELVALE",
"state": "AR",
"postal_code": "721033212",
"telephone_number": "501-451-7715"
}
],
"practiceLocations": [
{
"address_1": "9064 Rolling Hills Dr",
"address_purpose": "LOCATION",
"city": "Alexander",
"state": "AR",
"postal_code": "720022896",
"country_code": "US",
"telephone_number": "501-837-0811",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "620 W South St",
"address_purpose": "LOCATION",
"city": "Benton",
"state": "AR",
"postal_code": "720154258",
"country_code": "US",
"telephone_number": "501-778-3151",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STATON",
"first_name": "ALLIE",
"middle_name": "DANIELLE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-15",
"last_updated": "2022-11-04",
"certification_date": "2022-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "AR",
"license": "PD14602",
"primary": true
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "AR",
"license": "PD14602",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mabelvale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.