Active NPI
Timothy D Jenkins, PHARMD
- Pharmacist
- Springdale, AR
National Provider Identifier
1689264483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD14660
- Practice address
- 3251 W Sunset Ave
Springdale, AR 72762-4947 - Phone
- (479) 756-1290
- NPI assigned
- Jan 25, 2021
- Last updated
- Jan 25, 2021
- 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 | PD14660 | AR | Primary |
Addresses
Primary practice location
3251 W Sunset Ave
Springdale, AR 72762-4947
Mailing address
3251 W Sunset Ave
Springdale, AR 72762-4947
Phone (479) 756-1290
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 |
|---|---|---|---|
| PD14660 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
3251 W Sunset Ave
Springdale, AR 72762
Phone (479) 756-1290
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": "1611532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611532800000",
"number": "1689264483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3251 W SUNSET AVE",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727624947",
"telephone_number": "479-756-1290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3251 W SUNSET AVE",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727624947",
"telephone_number": "479-756-1290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "TIMOTHY",
"middle_name": "D",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-25",
"last_updated": "2021-01-25",
"certification_date": "2021-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD14660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.