Active NPI
Jerri Lee Fletcher, P.D.
- Pharmacist
- Little Rock Air Force Base, AR
National Provider Identifier
1881626950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 06707
- Practice address
- 1090 Arnold Dr
Little Rock Air Force Base, AR 72099-4933 - Phone
- (501) 987-7446
- Fax
- (501) 987-7605
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- 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 | 06707 | AR | Primary |
Addresses
Primary practice location
1090 Arnold Dr
Little Rock Air Force Base, AR 72099-4933
Mailing address
360 Highway 64 W
Beebe, AR 72012-9508
Phone (501) 882-5849
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
| License | State | Type | Specialty |
|---|---|---|---|
| 06707 | AR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881626950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 HIGHWAY 64 W",
"city": "BEEBE",
"state": "AR",
"postal_code": "720129508",
"telephone_number": "501-882-5849",
"fax_number": "501-987-7605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1090 ARNOLD DR",
"city": "LITTLE ROCK AIR FORCE BASE",
"state": "AR",
"postal_code": "720994933",
"telephone_number": "501-987-7446",
"fax_number": "501-987-7605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "JERRI",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "P.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "06707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Rock Air Force Base, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.