Marinda Renee Bryan, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PD11970 Issued in AR

Practice address

2526 Hwy 65 S. Ste 101
Clinton, AR 72031

Phone

(501) 745-8414

Fax

(501) 745-8282

NPI assigned

Oct 7, 2020

Sex

Female

Sole proprietor

No

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.

• Clinton Butler

  • Community/Retail Pharmacy
  • Clinton, AR
  • NPI 1053492405

  Pharmacist

  NPD (past)

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

• Miss Marinda Renee Hutchison Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 7, 2020.

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1447857909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2526 HWY 65 S. STE 101",
            "city": "CLINTON",
            "state": "AR",
            "postal_code": "72031",
            "telephone_number": "501-745-8414",
            "fax_number": "501-745-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2526 HWY 65 S. STE 101",
            "city": "CLINTON",
            "state": "AR",
            "postal_code": "72031",
            "telephone_number": "501-745-8414",
            "fax_number": "501-745-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "MARINDA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD11970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "PD11970",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARINDA",
            "last_name": "HUTCHISON",
            "middle_name": "RENEE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Bragalone, CMP
• Nellie Branscum, RECOVERY ASSISTANT
• Zackary Brinley, RECOVERY ASSISTANT
• Andrea Michelle Brown, PHARMD
• Paden Brown, RECOVERY ASSISTANT
• Seriah Bullard
• Tyler Bullard
• Pamela Caltrider, CMP
• Lizabeth Carlo, CMP
• Danielle Carpenter

• All providers in Clinton, AR
• Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.