Active NPI
Anthony Todd Herriman, PHARMD
- Ambulatory Care Pharmacist
- Fort Smith, AR
National Provider Identifier
1699362848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 09699
- Practice address
- 2507 Market Trce
Fort Smith, AR 72908-8677 - Phone
- (479) 646-5505
- Fax
- (479) 646-7353
- NPI assigned
- Dec 22, 2020
- Last updated
- Sep 22, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 09699 | AR | Primary |
Addresses
Primary practice location
2507 Market Trce
Fort Smith, AR 72908-8677
Mailing address
4430 W Lofty Wood Dr
Fayetteville, AR 72704-7521
Phone (479) 871-2398
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 |
|---|---|---|---|
| 09699 | AR | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663804800000",
"number": "1699362848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4430 W LOFTY WOOD DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727047521",
"telephone_number": "479-871-2398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2507 MARKET TRCE",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729088677",
"telephone_number": "479-646-5505",
"fax_number": "479-646-7353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRIMAN",
"first_name": "ANTHONY",
"middle_name": "TODD",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-22",
"last_updated": "2022-09-22",
"certification_date": "2022-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist, Ambulatory Care",
"state": "AR",
"license": "09699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.