Active NPI
Kelly Elizabeth McNinch, RPH
- Pharmacist
- Vilonia, AR
National Provider Identifier
1164028320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD07721
- Practice address
- 1086 Main St
Vilonia, AR 72173-8003 - Phone
- (501) 796-0150
- Fax
- (501) 796-0134
- NPI assigned
- Dec 11, 2020
- Last updated
- Dec 11, 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 | PD07721 | AR | Primary |
Addresses
Primary practice location
1086 Main St
Vilonia, AR 72173-8003
Mailing address
256 Cardin Cir
Enola, AR 72047-8223
Phone (501) 454-3020
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD07721 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harps Food Stores, Inc | Current | Accepting new patients | |
| Harps Food Stores, Inc | Past | Accepting new patients |
Locations
1086 Main St
Vilonia, AR 72173
Phone (501) 796-0150
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.
-
dba Harps Pharmacy 119
- Community/Retail Pharmacy
- Springdale, AR
- NPI 1235239559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607644800000",
"number": "1164028320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "256 CARDIN CIR",
"city": "ENOLA",
"state": "AR",
"postal_code": "720478223",
"telephone_number": "501-454-3020",
"fax_number": "501-796-0134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1086 MAIN ST",
"city": "VILONIA",
"state": "AR",
"postal_code": "721738003",
"telephone_number": "501-796-0150",
"fax_number": "501-796-0134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNINCH",
"first_name": "KELLY",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-11",
"last_updated": "2020-12-11",
"certification_date": "2020-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD07721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vilonia, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.