Mary Kathryn Davis, PHARMD
Individual provider Active NPI Pharmacist · Newport, AR
NPI 1336738251 · NPPES record last updated Jan 14, 2021
Key facts
- NPI
- 1336738251
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PD08468 (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
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD08468 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bryant Holifield & Davis Pharmacy | Current |
Accepting new patients | |
| Bryant Holifield & Davis Pharmacy | Current | Accepting new patients |
Locations
2200 Malcolm Ave
Ste D
Newport, AR 72112
Phone (870) 523-9472
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD08468 | AR | Yes |
Addresses
Primary practice location
2200 Malcolm Ave Ste D
Newport, AR 72112-3697
Mailing address
2200 Malcolm Ave Ste D
Newport, AR 72112-3697
Phone (870) 523-9472
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mkdavis@arkansas.net |
Other providers in Newport, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.