Gordon Ray Mutters, P.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

AR07041 Issued in AR

Practice address

2507 Market Trce
Fort Smith, AR 72908-8677

Phone

(479) 646-5505

Fax

(479) 646-3090

NPI assigned

Jul 29, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402790400000",
    "number": "1346528056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 HIGHWAY 271 S",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729088028",
            "telephone_number": "479-646-7875",
            "fax_number": "479-646-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 MARKET TRCE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729088677",
            "telephone_number": "479-646-5505",
            "fax_number": "479-646-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTTERS",
        "first_name": "GORDON",
        "middle_name": "RAY",
        "credential": "P.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-29",
        "last_updated": "2014-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "AR07041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Shelby Murphree, LCSW
• Vent Stephen Murphy, D.D.S., M.S.
• Linda Murray, RN
• Sutton Childers Musgraves, M.S., CF-SLP
• Fatima Fakhir Musharraf, MD
• Brian Michael Myers, PT, DPT
• Hailey A Myers
• Haleigh Wells Myers, PA
• James Myers, MHPP/QBHP
• Melanie L. Myers, P.A.

• Pharmacist in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2014; 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.