John David Humphries, PD PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

PD07251 Issued in AR

Practice address

133 E Van Buren
Eureka Springs, AR 72632-3653

Phone

(479) 253-9175

Fax

(479) 253-8460

NPI assigned

Feb 9, 2021

Sex

Male

Sole proprietor

Yes

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

Practice roles

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.

• Smith Drug Company Inc

  • Community/Retail Pharmacy
  • Eureka Springs, AR
  • NPI 1578681755
  NPD (past)

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1417549528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 E VAN BUREN",
            "city": "EUREKA SPRINGS",
            "state": "AR",
            "postal_code": "726323653",
            "telephone_number": "479-253-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E VAN BUREN",
            "city": "EUREKA SPRINGS",
            "state": "AR",
            "postal_code": "726323653",
            "telephone_number": "479-253-9175",
            "fax_number": "479-253-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHRIES",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "credential": "PD PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD07251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley Lynn Harvill, MHPP
• Stephen Andrew Hearn, PT, DPT, ACNP, APRN
• Holly House LTD
• John Mark House, M.D.
• Shelia Mae Howerton, APRN
• Huntsville Road Operating LLC
• David Patrick Hurd, OD
• Klara Josette Hutchinson, APRN
• In Sight Low Vision Services LLC
• Janey Chapa & Associates PC

• All providers in Eureka Springs, AR
• Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.