Active NPI
Bailey Nicole Brewer, PHARMD
- Pharmacist
- Conway, AR
National Provider Identifier
1831710367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD14045
- Practice address
- 2425 Dave Ward Dr Ste 602
Conway, AR 72034-8685 - Phone
- (501) 336-8188
- Fax
- (501) 336-8177
- NPI assigned
- May 6, 2020
- Sex
- Female
- 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 | PD14045 | AR | Primary |
Addresses
Primary practice location
2425 Dave Ward Dr Ste 602
Conway, AR 72034-8685
Mailing address
2425 Dave Ward Dr Ste 602
Conway, AR 72034-8685
Phone (501) 336-8188
Other names 1
- Miss Bailey Nicole Williams
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 |
|---|---|---|---|
| PD14045 | AR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629158400000",
"number": "1831710367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2425 DAVE WARD DR STE 602",
"city": "CONWAY",
"state": "AR",
"postal_code": "720348685",
"telephone_number": "501-336-8188",
"fax_number": "501-336-8177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 DAVE WARD DR STE 602",
"city": "CONWAY",
"state": "AR",
"postal_code": "720348685",
"telephone_number": "501-336-8188",
"fax_number": "501-336-8177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWER",
"first_name": "BAILEY",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-06",
"last_updated": "2021-08-17",
"certification_date": "2021-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD14045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BAILEY",
"last_name": "WILLIAMS",
"middle_name": "NICOLE",
"prefix": "MISS",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.