Stephen Dwayne Barnes, DOCTOR OF PHARMACY
Individual provider Active NPI Pharmacist · Springdale, AR
NPI 1669068821 · NPPES record last updated Dec 11, 2020
Key facts
- NPI
- 1669068821
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PD08540 (AR)
- Practice address
- 1007 Jones Rd
Springdale, AR 72762-0705 - Phone
- (479) 361-1950
- Fax
- (479) 361-1908
- NPI assigned
- Dec 11, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD08540 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harps Food Stores, Inc | Past |
Accepting new patients | |
| Harps Food Stores, Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD08540 | AR | Yes |
Addresses
Primary practice location
1007 Jones Rd
Springdale, AR 72762-0705
Mailing address
13218 Loma Linda Dr
Gravette, AR 72736-8774
Phone (479) 659-2120
Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.