Individual provider Active NPI

Kaitlin Danielle Wood, PHARMD

  • Pharmacist
  • Bryant, AR
National Provider Identifier
1740055243
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PD15316 Issued in AR
Practice address
3322 Hwy 5 N
Bryant, AR 72019-9031
Phone
(501) 847-2880
NPI assigned
Nov 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PD15316 AR Primary

Addresses

Primary practice location

3322 Hwy 5 N
Bryant, AR 72019-9031

Mailing address

3322 Hwy 5 N
Bryant, AR 72019-9031
Phone (501) 847-2880

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

LicenseStateTypeSpecialty
PD15316ARMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Martin and Tucker Investments Inc CurrentSince Nov 19, 2023 Accepting new patients
Martin and Tucker Investments Inc CurrentSince Nov 19, 2023 Accepting new patients

Locations

3322 Highway 5 N
Bryant, AR 72019
Phone (501) 847-2880

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1740055243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3322 HWY 5 N",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720199031",
            "telephone_number": "501-847-2880",
            "fax_number": "501-847-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 HWY 5 N",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720199031",
            "telephone_number": "501-847-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "KAITLIN",
        "middle_name": "DANIELLE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD15316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryant, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.