Active NPI
Brandon Darnell Applewhite
- Pharmacist
- Forrest City, AR
National Provider Identifier
1699376772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD11440
- Practice address
- Walmart
205 Deadrick Rd
Forrest City, AR 72235 - Phone
- (870) 633-0465
- Fax
- (870) 630-0370
- NPI assigned
- Nov 4, 2020
- Last updated
- Nov 4, 2020
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD11440 | AR | Primary |
Addresses
Primary practice location
Walmart
205 Deadrick Rd
Forrest City, AR 72235
Mailing address
16413 Highway 70
Brinkley, AR 72021-7039
Phone (501) 766-3690
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD11440 | AR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604448000000",
"number": "1699376772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16413 HIGHWAY 70",
"city": "BRINKLEY",
"state": "AR",
"postal_code": "720217039",
"telephone_number": "501-766-3690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WALMART",
"address_2": "205 DEADRICK RD",
"city": "FORREST CITY",
"state": "AR",
"postal_code": "72235",
"telephone_number": "870-633-0465",
"fax_number": "870-630-0370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "APPLEWHITE",
"first_name": "BRANDON",
"middle_name": "DARNELL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-04",
"last_updated": "2020-11-04",
"certification_date": "2020-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD11440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forrest City, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.