Misty Ronette Duckworth

Primary specialty

PharmacistTaxonomy code 183500000X

License

PD12467 Issued in AR

Practice address

115 E Broadway St
Pocahontas, AR 72455-3498

Phone

(870) 892-5615

Fax

(870) 892-2592

NPI assigned

Jul 5, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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 and National Provider Directory roles.

• Futrell Pharmacy Inc

  • Community/Retail Pharmacy
  • Pocahontas, AR
  • NPI 1538056395
  NPD (past)
• Futrell Pharmacy Inc

  • Pharmacy
  • Pocahontas, AR
  • NPI 1780681932
  NPD (past)

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

{
    "created_epoch": "1562284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562284800000",
    "number": "1336701721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 COUNTY ROAD 7940",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724057266",
            "telephone_number": "870-253-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E BROADWAY ST",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724553498",
            "telephone_number": "870-892-5615",
            "fax_number": "870-892-2592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCKWORTH",
        "first_name": "MISTY",
        "middle_name": "RONETTE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-05",
        "last_updated": "2019-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD12467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "165303",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Autumn Dillon
• Diversicare Leasing Corp.
• Dozier Dental of Pocahontas PLLC
• Oliver Ray Dozier, DDS
• Dr. Karla Baltz, DDS, PA
• Eldercare of Arkansas II Inc.
• Patricia Leah Evers, LCSW
• Families, Inc. of Arkansas
• Family Dental Care of Pocahontas Inc
• Five Rivers Medical Center

• Pharmacist in Pocahontas, AR
• Providers in Pocahontas, AR by specialty
• Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.