Active NPI
Kendl Fischer, PHARMD
- Pharmacist
- Sherwood, AR
National Provider Identifier
1053981837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15790
- Practice address
- 8521 Highway 107
Sherwood, AR 72120-3893 - Phone
- (501) 833-2603
- NPI assigned
- Jun 25, 2021
- Last updated
- Jun 25, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15790 | AR | Primary |
Addresses
Primary practice location
8521 Highway 107
Sherwood, AR 72120-3893
Mailing address
811 S Edmonds Ave
MC Crory, AR 72101-8231
Phone (870) 206-0992
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 |
|---|---|---|---|
| 15790 | AR | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624579200000",
"number": "1053981837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 S EDMONDS AVE",
"city": "MC CRORY",
"state": "AR",
"postal_code": "721018231",
"telephone_number": "870-206-0992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8521 HIGHWAY 107",
"city": "SHERWOOD",
"state": "AR",
"postal_code": "721203893",
"telephone_number": "501-833-2603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISCHER",
"first_name": "KENDL",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-25",
"last_updated": "2021-06-25",
"certification_date": "2021-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "15790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sherwood, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.