Active NPI
Phillip Craig Clothier, R.PH.
- Pharmacist
- West Memphis, AR
National Provider Identifier
1396022679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD06359
- Practice address
- 346 W Broadway St
West Memphis, AR 72301-3906 - Phone
- (870) 733-0138
- Fax
- (870) 733-0237
- NPI assigned
- Nov 14, 2011
- Last updated
- Nov 15, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD06359 | AR | Primary |
Addresses
Primary practice location
346 W Broadway St
West Memphis, AR 72301-3906
Mailing address
346 W Broadway St
West Memphis, AR 72301-3906
Phone (870) 733-0138
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19596 | Other | TX | PHARMACIST |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD06359 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321315200000",
"number": "1396022679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "346 W BROADWAY ST",
"city": "WEST MEMPHIS",
"state": "AR",
"postal_code": "723013906",
"telephone_number": "870-733-0138",
"fax_number": "870-733-0237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "346 W BROADWAY ST",
"city": "WEST MEMPHIS",
"state": "AR",
"postal_code": "723013906",
"telephone_number": "870-733-0138",
"fax_number": "870-733-0237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOTHIER",
"first_name": "PHILLIP",
"middle_name": "CRAIG",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-14",
"last_updated": "2011-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD06359",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "19596",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Memphis, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.