Active NPI
John Kelvin Rissinger, PHARM.D
- Pharmacist
- Huntsville, AR
National Provider Identifier
1740529916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD8488
- Practice address
- 115 Lee St
Huntsville, AR 72740-8059 - Phone
- (479) 927-3379
- Fax
- (479) 927-1395
- NPI assigned
- Feb 7, 2013
- 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 | PD8488 | AR | Primary |
Addresses
Primary practice location
115 Lee St
Huntsville, AR 72740-8059
Mailing address
115 Lee St
Huntsville, AR 72740-8059
Phone (479) 738-2202
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 |
|---|---|---|---|
| PD8488 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harps Food Stores, Inc | Past | Accepting new patients | |
| Harps Food Stores, Inc | Past | Accepting new patients |
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.
-
- Community/Retail Pharmacy
- Springdale, AR
- NPI 1023118270
-
- Community/Retail Pharmacy
- Springdale, AR
- NPI 1235239559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607385600000",
"number": "1740529916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 LEE ST",
"city": "HUNTSVILLE",
"state": "AR",
"postal_code": "727408059",
"telephone_number": "479-738-2202",
"fax_number": "479-738-2017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 LEE ST",
"city": "HUNTSVILLE",
"state": "AR",
"postal_code": "727408059",
"telephone_number": "479-927-3379",
"fax_number": "479-927-1395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RISSINGER",
"first_name": "JOHN",
"middle_name": "KELVIN",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-07",
"last_updated": "2020-12-08",
"certification_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD8488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.