Organization Active NPI

Bryant Holifield & Davis Pharmacy

Doing business as Norman & Baker Pharmacy

  • Long Term Care Pharmacy
  • Newport, AR
National Provider Identifier
1053175117
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
BRYANT HOLIFIELD & DAVIS PHARMACY
Doing business as
Norman & Baker Pharmacy
Practice address
2200 Malcolm Ave
Newport, AR 72112-3668
Phone
(870) 523-9472
Fax
(870) 523-9364
NPI assigned
Feb 9, 2024
Last updated
Feb 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Authorized official

Name
Mary Kathryn DavisNPI 1336738251
Title
Pic
Phone
(870) 523-9472

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

2200 Malcolm Ave
Newport, AR 72112-3668

Mailing address

2200 Malcolm Ave
Newport, AR 72112-3668
Phone (870) 523-9472

Other names 1

  • Norman & Baker Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bryant Holifield Davis Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2200 Malcolm Ave
Newport, AR 72112
Phone (870) 512-2500

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1053175117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 MALCOLM AVE",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721123668",
            "telephone_number": "870-523-9472",
            "fax_number": "870-523-9364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 MALCOLM AVE",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721123668",
            "telephone_number": "870-523-9472",
            "fax_number": "870-523-9364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYANT HOLIFIELD & DAVIS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "KATHRYN",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "870-523-9472"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Norman & Baker Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.