Active NPI
Pierce Wyland Skersick, PHARMD
- Pharmacist
- Bentonville, AR
National Provider Identifier
1043822364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD15727
- Practice address
- 2805 Mid Cities Dr
Bentonville, AR 72712-4270 - Phone
- (479) 271-7634
- NPI assigned
- Aug 18, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH032180 | GA | |
| Pharmacist | 183500000X | PD15727 | AR | Primary |
Addresses
Primary practice location
2805 Mid Cities Dr
Bentonville, AR 72712-4270
Mailing address
2805 Mid Cities Dr
Bentonville, AR 72712-4270
Phone (479) 271-7634
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD15727 | AR | MD | Pharmacist |
| RPH032180 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677456000000",
"number": "1043822364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2805 MID CITIES DR",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727124270",
"telephone_number": "479-271-7634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2805 MID CITIES DR",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727124270",
"telephone_number": "479-271-7634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKERSICK",
"first_name": "PIERCE",
"middle_name": "WYLAND",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-18",
"last_updated": "2023-02-27",
"certification_date": "2023-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH032180",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD15727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.