Maybranch Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

AR20274 Issued in AR

Legal business name

MAYBRANCH PHARMACY

Practice address

2801 Old Greenwood Rd
Ste. 11
Fort Smith, AR 72903-4560

Phone

(479) 646-3434

NPI assigned

Sep 27, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gordon Ray Mutters

Title

Pharmacist

Phone

(479) 646-3434

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841286572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 OLD GREENWOOD RD",
            "address_2": "STE. 11",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 OLD GREENWOOD RD",
            "address_2": "STE. 11",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034560",
            "telephone_number": "479-646-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYBRANCH PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUTTERS",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "479-646-3434"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AR",
            "license": "AR20274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0409993",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nata Matthews, DNP
• Cheryl Maxon
• Maxus Inc. (Arkansas Counseling Associates)
• Cheryl L Maxwell, PT
• Tiffany May, MHPP
• Joyce M Mays
• Tamara Mays
• Chelsea McAfee
• Morgan McAlester
• Chasidy McAllister, APRN

• Pharmacy in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.