Mara George

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

PD12760 Issued in AR

Practice address

103 Gregory PL
Jacksonville, AR 72076-3211

Phone

(501) 985-0822

Fax

(501) 985-3610

NPI assigned

Dec 15, 2019

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

State licenses

Practice roles

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.

• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Jacksonville, AR
  • NPI 1598799348
  NPD (past)
• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Newport, KY
  • NPI 1104791078
  NPD (past)

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

{
    "created_epoch": "1576368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1962040550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N SPRUCE ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053838",
            "telephone_number": "479-462-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 GREGORY PL",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720763211",
            "telephone_number": "501-985-0822",
            "fax_number": "501-985-3610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 N Spruce St",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722053838",
            "country_code": "US",
            "telephone_number": "479-462-6165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "MARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-15",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "AR",
            "license": "PD12760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haylee Garland, LAC
• Melissa A Garrett, LMSW
• Gary Benton Inc
• Anakaren Garza, MA, LPC, NCC
• Shana Lynn Genenbacher, MHPP
• Tiarra Gibbons
• Logan Gilbertson, OTR4172
• Mika Tamara Gill, LMSW
• April Glasgow, QBHP
• John Glenn

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Jacksonville, AR
• Providers in Jacksonville, AR by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.