Jack Barnhill, CPHT

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

PT08459 Issued in AR

Practice address

702 SW 8TH St
Bentonville, AR 72712

Phone

(479) 402-3000

NPI assigned

Mar 11, 2015

Last updated

Aug 23, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wal-Mart Stores East, LP

  dba Walmart Pharmacy 10-2229

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1265825459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 SW 8TH ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727126209",
            "telephone_number": "479-402-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 SW 8TH ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "72712",
            "telephone_number": "479-402-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2755 Holton Whitehall Rd",
            "address_purpose": "LOCATION",
            "city": "Whitehall",
            "state": "MI",
            "postal_code": "494619516",
            "country_code": "US",
            "telephone_number": "231-893-5488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7083 W 48th St",
            "address_2": "Pharmacy",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "MI",
            "postal_code": "494129508",
            "country_code": "US",
            "telephone_number": "231-924-6900",
            "fax_number": "231-924-6957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNHILL",
        "first_name": "JACK",
        "credential": "CPHT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-11",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "AR",
            "license": "PT08459",
            "primary": true
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MI",
            "license": "5303001032",
            "primary": false
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "FL",
            "license": "RPT78963",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Marie Barland, MHPP
• Todd Barlow, M.D.
• Satyn Barnes-Turner
• Sandra Barnes
• Sherry Ann Barnett, MHPP
• Abbey Barr
• Rhett Barragan
• Kaitlyn Barrantes, LAC
• Alexis Barrett
• Janay Nichole Barrow

• Pharmacy Technician in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Pharmacy Technician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.