Active NPI
Kirbi Chase McMullin, PHARMD
- Pharmacist
- Clinton, AR
National Provider Identifier
1245831858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD13692
- Practice address
- 1966 Highway 65 S
Clinton, AR 72031-6796 - Phone
- (501) 745-2888
- NPI assigned
- Nov 2, 2020
- Last updated
- Nov 2, 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 | PD13692 | AR | Primary |
Addresses
Primary practice location
1966 Highway 65 S
Clinton, AR 72031-6796
Mailing address
1240 Alex St
Conway, AR 72032-5839
Phone (870) 307-2926
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 |
|---|---|---|---|
| PD13692 | AR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604275200000",
"number": "1245831858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1240 ALEX ST",
"city": "CONWAY",
"state": "AR",
"postal_code": "720325839",
"telephone_number": "870-307-2926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1966 HIGHWAY 65 S",
"city": "CLINTON",
"state": "AR",
"postal_code": "720316796",
"telephone_number": "501-745-2888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMULLIN",
"first_name": "KIRBI",
"middle_name": "CHASE",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-02",
"last_updated": "2020-11-02",
"certification_date": "2020-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD13692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.