Kimberly McCandlis, PHAMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

PD13748 Issued in AR

Practice address

2805 Mid Cities Dr Ste 1
Bentonville, AR 72712-4291

Phone

(479) 271-7754

NPI assigned

Feb 23, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: kimberly.mccandlis@arcare.directbygreenway.com

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1992399794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "AUGUSTA",
            "state": "AR",
            "postal_code": "720060497",
            "telephone_number": "870-347-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 MID CITIES DR STE 1",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124291",
            "telephone_number": "479-271-7754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANDLIS",
        "first_name": "KIMBERLY",
        "credential": "PHAMACIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD13748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamra Elizabeth Mays, PH.D.
• Meredith Peyton Mays
• Zemarcus Mays
• David Shane McAlister, M.D.
• Pamela Yvette McArthur, RN, IBCLC
• Mirela Danielle McCarley
• Jayme McCarty
• Breanna McChristian
• Daniel R. McClellan, LMFT
• Lauren McCoy, MFT

• Pharmacist in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.

Verify at the official NPI Registry.