Kyle Hively, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PD13679 Issued in AR

Practice address

638 California Ave SW
Camden, AR 71701-4699

Phone

(870) 836-1296

Fax

(870) 836-1041

NPI assigned

Jan 23, 2021

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

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1611360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1396335337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3663 SOUTHFIELD RD",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717308738",
            "telephone_number": "479-366-4168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 CALIFORNIA AVE SW",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717014699",
            "telephone_number": "870-836-1296",
            "fax_number": "870-836-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIVELY",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-23",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD13679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADMINISTER IMMUNIZATIONS CERTIFICATION",
            "identifier": "C13679",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "660024",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "660024",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "PD13679",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marina Henry
• Allanna Marie Henton
• Kanesha Sarnel Hickman
• Callie Hildreth, MHPP
• Holly Hinton, CCC-SLP
• Detta F Holland
• Stacy Hollis
• Robyn Horn, PT
• Horton Healthcare Services
• Horton Healthcare Services

• Pharmacist in Camden, AR
• Providers in Camden, AR by specialty
• Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.