Jamie Blaine Brown, PHARM D
Individual provider Active NPI Pharmacist · Camden, AR
NPI 1164060638 · NPPES record last updated Dec 16, 2019
Key facts
- NPI
- 1164060638
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PD10110 (AR)
- Practice address
- 1345 Hwy 4 Spur SW
Camden, AR 71701 - Phone
- (870) 836-3324
- Fax
- (870) 836-3715
- NPI assigned
- Dec 16, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD10110 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brookshire Grocery Company | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD10110 | AR | Yes |
Addresses
Primary practice location
1345 Hwy 4 Spur SW
Camden, AR 71701
Mailing address
1345 Hwy 4 Spur SW
Camden, AR 71701
Phone (870) 836-3324
Other names
- Jamie Blaine Myatt
Other providers in Camden, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.