Mary Kathryn Davis, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PD08468 Issued in AR

Practice address

2200 Malcolm Ave Ste D
Newport, AR 72112-3697

Phone

(870) 523-9472

Fax

(870) 523-9364

NPI assigned

Jan 14, 2021

Last updated

Jan 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mkdavis@arkansas.net

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.

• Bryant Holifield & Davis Pharmacy

  dba Norman and Baker Pharmacy

  • Community/Retail Pharmacy
  • Newport, AR
  • NPI 1043290299
  NPD Authorized official
• Bryant Holifield & Davis Pharmacy

  dba Norman & Baker Pharmacy

  • Long Term Care Pharmacy
  • Newport, AR
  • NPI 1053175117
  NPD Authorized official

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1336738251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 MALCOLM AVE STE D",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721123697",
            "telephone_number": "870-523-9472",
            "fax_number": "870-523-9364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 MALCOLM AVE STE D",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721123697",
            "telephone_number": "870-523-9472",
            "fax_number": "870-523-9364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MARY",
        "middle_name": "KATHRYN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD08468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkdavis@arkansas.net",
            "affiliation": "N",
            "address_1": "2200 Malcolm Ave Ste D",
            "city": "Newport",
            "state": "AR",
            "country_code": "US",
            "postal_code": "721123697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lisa Cunningham, LPC
• Custom Eyes Vision Care of Newport, Inc
• James Darling
• Amber Davis
• Christopher Davis, RECOVERY ASSISTANT
• Delta Medical Group Inc
• Nakyra Dicus
• Diversicare Pinedale, LLC (Newport Healthcare and Rehabilitation Center)
• Doctors Health Group, Inc
• Jennifer L Dorris, APRN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.