Active NPI
Kaci Rood, PHARM D
- Pharmacist
- Dardanelle, AR
National Provider Identifier
1134715246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD12326
- Practice address
- 1176 State Highway 22 W Ste a
Dardanelle, AR 72834-3006 - Phone
- (479) 229-4040
- NPI assigned
- Dec 14, 2020
- Last updated
- Dec 14, 2020
- Sex
- Female
- 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 | PD12326 | AR | Primary |
Addresses
Primary practice location
1176 State Highway 22 W Ste a
Dardanelle, AR 72834-3006
Mailing address
PO Box 240
Dardanelle, AR 72834-0240
Phone (479) 229-4040
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 |
|---|---|---|---|
| PD12326 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duvall Enterprises Inc | Current | Accepting new patients |
Locations
1176 State Highway 22 W
Ste A
Dardanelle, AR 72834
Phone (479) 229-4040
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": "1607904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607904000000",
"number": "1134715246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 240",
"city": "DARDANELLE",
"state": "AR",
"postal_code": "728340240",
"telephone_number": "479-229-4040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1176 STATE HIGHWAY 22 W STE A",
"city": "DARDANELLE",
"state": "AR",
"postal_code": "728343006",
"telephone_number": "479-229-4040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROOD",
"first_name": "KACI",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-14",
"last_updated": "2020-12-14",
"certification_date": "2020-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD12326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dardanelle, AR
- Rehoboth, Incorporated (The Home Place)
- Restoring Hope Consulting and Social Work, P.a.
- River Valley Medical Center Family Clinic LLC
- Taylor Roden
- Diedra Anne Rogers
- Rose Drug of Dover, Inc (Berry Drug of Dardanelle)
- Rose Drug of Dover, Inc (Berry Drug of Dardanelle)
- William Patrick Scott, MD
- SDS Emergency Staffing LLC
- Matthew Self, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.