Active NPI
G Keith Larkin, PHARM D
- Pharmacist
- Fort Smith, AR
National Provider Identifier
1073910782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 06249
- Practice address
- 8820 Rogers Ave
Fort Smith, AR 72903-5245 - Phone
- (479) 458-0278
- Fax
- (479) 452-2583
- NPI assigned
- Nov 24, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | 06249 | AR | Primary |
Addresses
Primary practice location
8820 Rogers Ave
Fort Smith, AR 72903-5245
Mailing address
8820 Rogers Ave
Fort Smith, AR 72903-5245
Phone (479) 458-0278
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100390407 | Medicaid | AR |
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 |
|---|---|---|---|
| 06249 | AR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416787200000",
"number": "1073910782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8820 ROGERS AVE",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729035245",
"telephone_number": "479-458-0278",
"fax_number": "479-452-2583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8820 ROGERS AVE",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729035245",
"telephone_number": "479-458-0278",
"fax_number": "479-452-2583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARKIN",
"first_name": "G",
"middle_name": "KEITH",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-11-24",
"last_updated": "2014-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "06249",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100390407",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.