Active NPI
Teresa McCann, PHARMD
- Pharmacist
- Camden, AR
National Provider Identifier
1104456854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD08173
- Practice address
- Brookshire'S Pharmacy #85
1345 Hwy 4 Spur SW
Camden, AR 71701 - Phone
- (870) 836-3324
- Fax
- (866) 572-0138
- NPI assigned
- Jan 22, 2020
- Sex
- Female
- 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 | PD08173 | AR | Primary |
Addresses
Primary practice location
Brookshire'S Pharmacy #85
1345 Hwy 4 Spur SW
Camden, AR 71701
Mailing address
1345 Hwy 4 Spur SW
Camden, AR 71701
Phone (870) 836-3324
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 |
|---|---|---|---|
| PD08173 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brookshire Grocery Company | 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.
-
- Community/Retail Pharmacy
- Tulsa, OK
- NPI 1831138213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579651200000",
"number": "1104456854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1345 HWY 4 SPUR SW",
"city": "CAMDEN",
"state": "AR",
"postal_code": "71701",
"telephone_number": "870-836-3324",
"fax_number": "866-572-0138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BROOKSHIRE'S PHARMACY #85",
"address_2": "1345 HWY 4 SPUR SW",
"city": "CAMDEN",
"state": "AR",
"postal_code": "71701",
"telephone_number": "870-836-3324",
"fax_number": "866-572-0138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCANN",
"first_name": "TERESA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-22",
"last_updated": "2020-01-22",
"certification_date": "2020-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD08173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camden, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.