Individual provider Active NPI

Deborah West, P.D.

  • Pharmacist
  • Jonesboro, AR
National Provider Identifier
1043628076
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
AR07739 Issued in AR
Practice address
1328 Red Wolf Blvd.
Jonesboro, AR 72401-5940
Phone
(870) 802-3749
NPI assigned
Jul 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X AR07739 AR Primary

Addresses

Primary practice location

1328 Red Wolf Blvd.
Jonesboro, AR 72401-5940

Mailing address

1328 Redwolf Blvd.
Jonesboro, AR 72401-5940
Phone (870) 802-3749

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

LicenseStateTypeSpecialty
AR07739ARMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Jul 2, 2023 Accepting new patients
Walgreen Co PastSince Jul 2, 2023 Accepting new patients
Walgreen Co Past Accepting new patients

Locations

1328 Red Wolf Blvd
Jonesboro, AR 72401
Phone (870) 802-3749

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1043628076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 REDWOLF BLVD.",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015940",
            "telephone_number": "870-802-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 RED WOLF BLVD.",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015940",
            "telephone_number": "870-802-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "DEBORAH",
        "credential": "P.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-22",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "AR07739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.

Verify at the official NPI Registry.