Individual provider Active NPI

Mackenzie Faith Reinhart, PHARMD

  • Pharmacist
  • Little Rock, AR
National Provider Identifier
1376278093
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PD16212 Issued in AR
Practice address
5200 Kavanaugh Blvd
Little Rock, AR 72207-4609
Phone
(501) 664-3844
Fax
(501) 664-3744
NPI assigned
Jul 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PD16212 AR Primary

Addresses

Primary practice location

5200 Kavanaugh Blvd
Little Rock, AR 72207-4609

Mailing address

30 Campden Hill Rd
Sherwood, AR 72120-6537
Phone (870) 278-3642

Other practice location 1

6815 Cantrell Rd
Little Rock, AR 72207-4134
Phone (870) 644-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PD16212ARMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1376278093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CAMPDEN HILL RD",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721206537",
            "telephone_number": "870-278-3642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 KAVANAUGH BLVD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722074609",
            "telephone_number": "501-664-3844",
            "fax_number": "501-664-3744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6815 Cantrell Rd",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722074134",
            "country_code": "US",
            "telephone_number": "870-644-4444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REINHART",
        "first_name": "MACKENZIE",
        "middle_name": "FAITH",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD16212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.