Active NPI
John D Barksdale, PHARM.D.
- Pharmacist
- Bentonville, AR
National Provider Identifier
1477546133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 08893
- Practice address
- 2709 SE Otis Corley Dr Ste 19
Bentonville, AR 72712-3410 - Phone
- (479) 250-9114
- Fax
- (844) 793-1334
- NPI assigned
- Aug 29, 2005
- 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 | 08893 | AR | Primary |
Addresses
Primary practice location
2709 SE Otis Corley Dr Ste 19
Bentonville, AR 72712-3410
Mailing address
1914 Sandpiper Ave
Lowell, AR 72745-8667
Phone (479) 250-9114
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
| License | State | Type | Specialty |
|---|---|---|---|
| 08893 | AR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666137600000",
"number": "1477546133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1914 SANDPIPER AVE",
"city": "LOWELL",
"state": "AR",
"postal_code": "727458667",
"telephone_number": "479-250-9114",
"fax_number": "844-793-1334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2709 SE OTIS CORLEY DR STE 19",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727123410",
"telephone_number": "479-250-9114",
"fax_number": "844-793-1334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARKSDALE",
"first_name": "JOHN",
"middle_name": "D",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-29",
"last_updated": "2022-10-19",
"certification_date": "2022-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "08893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.