Jeffrey Fenwick

Primary specialty

PharmacistTaxonomy code 183500000X

License

PD07666 Issued in AR

Practice address

1615 Dodson Ave
Fort Smith, AR 72901-5129

Phone

(479) 783-6135

Fax

(479) 785-2922

NPI assigned

Jul 18, 2022

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

Locations

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.

• National Family Pharmacy Inc

  • Community/Retail Pharmacy
  • Fort Smith, AR
  • NPI 1164405858
  NPD

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1669107348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 DODSON AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729015129",
            "telephone_number": "479-785-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 DODSON AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729015129",
            "telephone_number": "479-783-6135",
            "fax_number": "479-785-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENWICK",
        "first_name": "JEFFREY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD07666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannan Faulkner, MHPP
• Anitra S Fay, PH.D.
• Fayetteville Vamc
• Danita Fears
• Gary V Felker, M.D.
• Charlotta Ferguson
• Jessica Ferguson
• Kristin Lea Ferguson, LAC
• Jonathan P Ferrari, M.D.
• Jeffrey Boyce Ferrell, M.D.

• Pharmacist in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.

Verify at the official NPI Registry.