Individual provider Active NPI

Edward Mitchell, PHARM.D

  • Pharmacist
  • Mountain View, AR
National Provider Identifier
1497351159
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PD10988 Issued in AR
Practice address
214 E Main St
Mountain View, AR 72560-6401
Phone
(870) 269-3253
Fax
(870) 269-5120
NPI assigned
Dec 8, 2020
Last updated
Dec 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PD10988 AR Primary

Addresses

Primary practice location

214 E Main St
Mountain View, AR 72560-6401

Mailing address

214 E Main St
Mountain View, AR 72560-6401
Phone (870) 269-3253

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

LicenseStateTypeSpecialty
PD10988ARMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mitchell's Main Street Pharmacy, Inc CurrentSince Dec 13, 2020 Accepting new patients
Mitchell's Main Street Pharmacy LTC, Inc CurrentSince Feb 25, 2024 Accepting new patients

Locations

214 E Main St
Mountain View, AR 72560
Phone (870) 269-3253

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": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1497351159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 E MAIN ST",
            "city": "MOUNTAIN VIEW",
            "state": "AR",
            "postal_code": "725606401",
            "telephone_number": "870-269-3253",
            "fax_number": "870-269-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E MAIN ST",
            "city": "MOUNTAIN VIEW",
            "state": "AR",
            "postal_code": "725606401",
            "telephone_number": "870-269-3253",
            "fax_number": "870-269-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "EDWARD",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD10988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.