Active NPI
Kathy Beavers
- Pharmacist
- Rogers, AR
National Provider Identifier
1003280561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD06479
- Practice address
- 4208 S Pleasant Crossing Blvd
Rogers, AR 72758-1345 - Phone
- (479) 621-0629
- NPI assigned
- Nov 20, 2015
- Sex
- Female
- Sole proprietor
- No
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 | PD06479 | AR | Primary |
Addresses
Primary practice location
4208 S Pleasant Crossing Blvd
Rogers, AR 72758-1345
Mailing address
4208 S Pleasant Crossing Blvd
Rogers, AR 72758-1345
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD06479 | AR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447977600000",
"number": "1003280561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4208 S PLEASANT CROSSING BLVD",
"city": "ROGERS",
"state": "AR",
"postal_code": "727581345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4208 S PLEASANT CROSSING BLVD",
"city": "ROGERS",
"state": "AR",
"postal_code": "727581345",
"telephone_number": "479-621-0629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAVERS",
"first_name": "KATHY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-20",
"last_updated": "2015-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD06479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.