Kyle Conner, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

PD13855 Issued in AR

Practice address

3499 Bella Vista Way
Bella Vista, AR 72714-5740

Phone

(479) 273-9136

Fax

(479) 273-9155

NPI assigned

Aug 17, 2020

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

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

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.

• Walgreen Co

  • Pharmacy
  • Bella Vista, AR
  • NPI 1245245513
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1346852860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3499 BELLA VISTA WAY",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727145740",
            "telephone_number": "479-273-9136",
            "fax_number": "479-273-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3499 BELLA VISTA WAY",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727145740",
            "telephone_number": "479-273-9136",
            "fax_number": "479-273-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNER",
        "first_name": "KYLE",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-17",
        "last_updated": "2023-11-27",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD13855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "rxm.09593@store.walgreens.com",
            "affiliation": "Y",
            "affiliationName": "WALGREEN CO",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3499 Bella Vista Way",
            "city": "Bella Vista",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727145740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Concho Valley Counseling, PLLC
• Concordia Health and Rehab, LLC
• Concordia Nursing & Rehab LLC
• Concordia Nursing and Rehab LLC
• Concordia Quilt, LLC
• Allison Connolly, DPT, ATC
• Cornerstone Pharmacy of Bella Vista LLC
• Cornerstone Pharmacy of Bella Vista LLC
• Travis Crowe, PTA
• Noble Skidmore Dallison, D.D.S

• Pharmacist in Bella Vista, AR
• Providers in Bella Vista, AR by specialty
• Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.