Justin Breezeel, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PD11950 Issued in AR

Practice address

2307 N Washington St
Forrest City, AR 72335-1800

Phone

(870) 581-9029

Fax

(870) 581-3408

NPI assigned

Feb 14, 2022

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Forrest City Family Pharmacy LLC

  • Long Term Care Pharmacy
  • Forrest City, AR
  • NPI 1003685264
  NPD
• Forrest City Family Pharmacy LLC

  • Community/Retail Pharmacy
  • Forrest City, AR
  • NPI 1396218483
  NPD

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1023763513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6307 RIDGECREST DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052926",
            "telephone_number": "979-308-6949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 N WASHINGTON ST",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723351800",
            "telephone_number": "870-581-9029",
            "fax_number": "870-581-3408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEZEEL",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD11950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Boeckmann, APRN
• Vernita Bowens, CASE MANAGER
• Sarah Boyer
• David George Boyles, LPE-I
• Brandy Davis MD P a
• Jennifer Nicole Brewer, PA-C
• Kara Britt, SLP
• Carol Brocato
• Alexis Brooks
• Jacqueline Leigh Brown, APRN

• All providers in Forrest City, AR
• Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.

Verify at the official NPI Registry.