John M Forrest, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PD14737 Issued in AR

Practice address

834 E Henri de Tonti Blvd
Springdale, AR 72762-4124

Phone

(479) 927-6100

Fax

(479) 419-5858

NPI assigned

Nov 3, 2017

Last updated

Dec 9, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

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.

• Premier Pharmacy Care LLC

  • Long Term Care Pharmacy
  • North Little Rock, AR
  • NPI 1558764159
  NPD (past)

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1043722697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 E HENRI DE TONTI BLVD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727624124",
            "telephone_number": "479-927-6100",
            "fax_number": "479-419-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 E HENRI DE TONTI BLVD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727624124",
            "telephone_number": "479-927-6100",
            "fax_number": "479-419-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORREST",
        "first_name": "JOHN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-03",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH0016310",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD14737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Albert Ang Fontanilla Jr., MD
• Shanovia Forbes
• Charity Nicole Ford, LMT
• Craig D Ford, MHPP
• Caitlin Forrest
• Keri Elizabeth Forrester
• J. Kim Foster
• Lance C Foster, MD
• Leslie A Foster, APRN
• Melissa Rose Foster, OTR/L

• Pharmacist in Springdale, AR
• Providers in Springdale, AR by specialty
• Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.

Verify at the official NPI Registry.