Individual provider Active NPI

John Hall, RPH

  • Pharmacist
  • Greenwood, AR
National Provider Identifier
1245895267
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PD07855 Issued in AR
Practice address
1530 W Center St
Greenwood, AR 72936-3400
Phone
(479) 996-9898
Fax
(479) 996-1342
NPI assigned
May 6, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PD07855 AR Primary

Addresses

Primary practice location

1530 W Center St
Greenwood, AR 72936-3400

Mailing address

1530 W Center St
Greenwood, AR 72936-3400
Phone (479) 996-9898

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address john@myhealthdepot.com

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

LicenseStateTypeSpecialty
PD07855ARMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The Health Depot Pharmacist Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1245895267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 W CENTER ST",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "729363400",
            "telephone_number": "479-996-9898",
            "fax_number": "479-996-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 W CENTER ST",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "729363400",
            "telephone_number": "479-996-9898",
            "fax_number": "479-996-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "JOHN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-06",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD07855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john@myhealthdepot.com",
            "affiliation": "N",
            "address_1": "1530 W Center St",
            "city": "Greenwood",
            "state": "AR",
            "country_code": "US",
            "postal_code": "729363400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenwood, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; 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.