Carl Stanley Duckworth P a

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

AR15996 Issued in AR

Legal business name

CARL STANLEY DUCKWORTH P A

Doing business as

Sexton Pharmacy

Practice address

218 W Main St
Walnut Ridge, AR 72476-1933

Phone

(870) 886-3461

Fax

(870) 886-3503

NPI assigned

Sep 26, 2006

Last updated

Feb 20, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carl Duckworth, BS PHARMACY

Title

President

Phone

(870) 886-3461

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SEXTON PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1174624829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 W MAIN ST",
            "address_2": "PO BOX 469",
            "city": "WALNUT RIDGE",
            "state": "AR",
            "postal_code": "724761933",
            "telephone_number": "870-886-3461",
            "fax_number": "870-886-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 W MAIN ST",
            "city": "WALNUT RIDGE",
            "state": "AR",
            "postal_code": "724761933",
            "telephone_number": "870-886-3461",
            "fax_number": "870-886-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL STANLEY DUCKWORTH P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "DUCKWORTH",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-886-3461",
        "authorized_official_credential": "BS PHARMACY"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR15996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1994900",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115144407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEXTON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christin Brown, PTA
• Cassie Bullard, PTA
• William Alexander Burns, APRN
• Baylee Kay Burris
• Mary E Cain, LPC
• Derek J Cashmer, PT
• Calixto Cazano, M.D.
• Bethany Clark, MS,CCC-SLP
• Clayton Dirk Davis (Davis Chiropractic)
• Van Allen Clayton, PHARMD

• Community/Retail Pharmacy in Walnut Ridge, AR
• Providers in Walnut Ridge, AR by specialty
• Community/Retail Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.