Active NPI
Marla Nutt
- Pharmacist
- Russellville, AR
National Provider Identifier
1013528678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD14634
- Practice address
- 1100 E Main St
Russellville, AR 72801-5319 - Phone
- (479) 967-1573
- NPI assigned
- Aug 16, 2020
- Last updated
- Aug 16, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD14634 | AR | Primary |
Addresses
Primary practice location
1100 E Main St
Russellville, AR 72801-5319
Mailing address
1100 E Main St
Russellville, AR 72801-5319
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 |
|---|---|---|---|
| PD14634 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1100 E Main St
Russellville, AR 72801
Phone (479) 967-1573
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597536000000",
"number": "1013528678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 E MAIN ST",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728015319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 E MAIN ST",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728015319",
"telephone_number": "479-967-1573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUTT",
"first_name": "MARLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-16",
"last_updated": "2020-08-16",
"certification_date": "2020-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD14634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Russellville, AR
- Carson G Norwood
- Notto Chiropractic Health Center, Inc.
- Leonard Anthony Notto, D.C.
- Noydeen Medical Group- Russellville
- Sonya Noyes, CMP
- Oasis Therapy and Wellness Center LLC
- Janet Obernvefemann
- Odyssey Healthcare Operating a, LP (Gentiva)
- Odyssey Healthcare Operating a, LP (Gentiva)
- Stephanie Olive
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.