Individual provider Active NPI

Grant Russell King, PHARMD, RPH

  • Pharmacist
  • Dumas, AR
National Provider Identifier
1073328506
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PD17211 Issued in AR
Practice address
301 US 65 South
Dumas, AR 71639
Phone
(870) 382-0500
NPI assigned
Feb 11, 2025
Last updated
Feb 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PD17211 AR Primary

Addresses

Primary practice location

301 US 65 South
Dumas, AR 71639

Mailing address

301 US-65 South
Dumas, AR 71639
Phone (870) 382-0500

Other practice location 1

130 Mount Elba Dr
Rison, AR 71665-8338
Phone (870) 718-2409

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PD17211ARMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Dumas Family Pharmacy LLC CurrentSince Feb 23, 2025 Accepting new patients
Dumas Family Pharmacy LLC PastSince Feb 23, 2025 Accepting new patients

Locations

301 Highway 65 S
Dumas, AR 71639
Phone (870) 382-0500

Organizations & group practices 2

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": "1739232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1073328506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 US-65 SOUTH",
            "city": "DUMAS",
            "state": "AR",
            "postal_code": "71639",
            "telephone_number": "870-382-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 US 65 SOUTH",
            "city": "DUMAS",
            "state": "AR",
            "postal_code": "71639",
            "telephone_number": "870-382-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Mount Elba Dr",
            "address_purpose": "LOCATION",
            "city": "Rison",
            "state": "AR",
            "postal_code": "716658338",
            "country_code": "US",
            "telephone_number": "870-718-2409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "GRANT",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD17211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumas, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.