Active NPI
Arnold Patrick Landry
- Pharmacist
- Mountain Home, AR
National Provider Identifier
1922383520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD08211
- Practice address
- 350 Highway 62 East
Mountain Home, AR 72653-3629 - Phone
- (870) 424-3814
- Fax
- (870) 424-3845
- NPI assigned
- Oct 14, 2011
- Last updated
- Oct 14, 2011
- Sex
- Male
- 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 | PD08211 | AR | Primary |
Addresses
Primary practice location
350 Highway 62 East
Mountain Home, AR 72653-3629
Mailing address
146 Fallen Firefighter Lane
P O Box 1224
Flippin, AR 72634
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 |
|---|---|---|---|
| PD08211 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318550400000",
"number": "1922383520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 FALLEN FIREFIGHTER LANE",
"address_2": "P O BOX 1224",
"city": "FLIPPIN",
"state": "AR",
"postal_code": "72634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 HIGHWAY 62 EAST",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726533629",
"telephone_number": "870-424-3814",
"fax_number": "870-424-3845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDRY",
"first_name": "ARNOLD",
"middle_name": "PATRICK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-14",
"last_updated": "2011-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD08211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mountain Home, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.