Active NPI
Kevin Hampton
- Pharmacist
- Berryville, AR
National Provider Identifier
1013614288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD15433
- Practice address
- 1006 W Trimble Ave
Berryville, AR 72616-4618 - Phone
- (870) 423-2094
- NPI assigned
- Feb 8, 2023
- Last updated
- Feb 8, 2023
- Sex
- Male
- 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 | PD15433 | AR | Primary |
Addresses
Primary practice location
1006 W Trimble Ave
Berryville, AR 72616-4618
Mailing address
19594 Davis Ford Rd
Springdale, AR 72764-9404
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 |
|---|---|---|---|
| PD15433 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GWL Inc | Current | Accepting new patients | |
| GWL Inc | Past | Accepting new patients |
Locations
1006 W Trimble Ave
Berryville, AR 72616
Phone (870) 423-2094
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": "1675814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675814400000",
"number": "1013614288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19594 DAVIS FORD RD",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727649404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 W TRIMBLE AVE",
"city": "BERRYVILLE",
"state": "AR",
"postal_code": "726164618",
"telephone_number": "870-423-2094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMPTON",
"first_name": "KEVIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-08",
"last_updated": "2023-02-08",
"certification_date": "2023-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD15433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berryville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.