Individual provider Active NPI

Mary Grice Duncan, PHARM. D.

  • Pharmacist
  • Southside, AR
National Provider Identifier
1164858437
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
AR-08360 Issued in AR
Practice address
5 Allen Chapel Rd
Southside, AR 72501-9787
Phone
(870) 251-2432
Fax
(870) 251-3016
NPI assigned
Sep 18, 2013
Last updated
Apr 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X AR-08360 AR Primary

Addresses

Primary practice location

5 Allen Chapel Rd
Southside, AR 72501-9787

Mailing address

1000 Antioch Rd
Cave City, AR 72521-9330
Phone (870) 613-2632

Other names 1

  • Mary Elizabeth Duncan Former name

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

LicenseStateTypeSpecialty
AR-08360ARMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wilson Wil-Sav Pharmacy, Inc CurrentSince Apr 28, 2024 Accepting new patients
Wilson Wil-Sav Pharmacy, Inc PastSince Apr 28, 2024 Accepting new patients

Locations

5 Allen Chapel Rd
Southside, AR 72501
Phone (870) 251-2432

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1164858437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ANTIOCH RD",
            "city": "CAVE CITY",
            "state": "AR",
            "postal_code": "725219330",
            "telephone_number": "870-613-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ALLEN CHAPEL RD",
            "city": "SOUTHSIDE",
            "state": "AR",
            "postal_code": "725019787",
            "telephone_number": "870-251-2432",
            "fax_number": "870-251-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "MARY",
        "middle_name": "GRICE",
        "credential": "PHARM. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-18",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "AR-08360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "DUNCAN",
            "middle_name": "ELIZABETH",
            "credential": "PHARM.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Southside, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.