Kristain Bradley Dedmon, PHARM.D.
NPI 1366726937ActiveIndividual· Pharmacist· West Memphis, AR
Pharmacist (PHARM.D.) in West Memphis, Arkansas, licensed in AR and TN, with an NPI issued in September 2011.
Overview
| NPI | 1366726937 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHARM.D. |
| Sole proprietor | No |
| NPI issued | Sep 30, 2011 |
| Last updated in NPPES | Sep 12, 2024 |
| Certified by provider | Sep 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | PD11142 | AR |
| Pharmacist | 183500000X | 33841 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Pharmacist providers in West Memphis
- 1942817101
- 1023101581
- 1285957605
- 1184227605
- 1740732957
- 1649315664
- 1710376363
- 1396022679
- 1770184715
- 1003427774
- 1871878439
- 1265718746