Individual provider Active NPI

Cynthia Martindale

  • Pharmacist
  • Benton, AR
National Provider Identifier
1881007466
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
7347 Issued in AR
Practice address
5 Medical Park Dr
Suite 102a
Benton, AR 72015-3729
Phone
(501) 315-1222
Fax
(501) 315-1241
NPI assigned
Jun 11, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 7347 AR Primary

Addresses

Primary practice location

5 Medical Park Dr
Suite 102a
Benton, AR 72015-3729

Mailing address

5 Medical Park Dr
Suite 102a
Benton, AR 72015-3729
Phone (501) 315-1222

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

LicenseStateTypeSpecialty
7347ARMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Saline Med-Peds Group, Inc CurrentSince Jan 1, 2013 Accepting new patients

Locations

5 Medical Park Dr
Ste 102A
Benton, AR 72015
Phone (501) 315-1222

Organizations & group practices 1

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": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1881007466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MEDICAL PARK DR",
            "address_2": "SUITE 102A",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153729",
            "telephone_number": "501-315-1222",
            "fax_number": "501-315-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MEDICAL PARK DR",
            "address_2": "SUITE 102A",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153729",
            "telephone_number": "501-315-1222",
            "fax_number": "501-315-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINDALE",
        "first_name": "CYNTHIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "7347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.