Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1306461421 Deactivated / Inactive NPI Male Practitioner

Tommy Glenn Black , PD

Pharmacist • De Witt, AR

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Tommy Black has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 15, 2020
NPI Deactivation Date August 28, 2024
Total Practice Duration ~4 Years of Practice (2020 – 2024)

Professional Overview & Biography Verified Profile Summary

Tommy Black, PD was a registered Pharmacist practicing in De Witt, AR. Throughout an active medical career spanning 4 years, Tommy Black provided care at the practice location at 220 COURT SQ until profile deactivation on 2024-08-28.

Practice Location & Contact Primary Location

Practice Address

220 Court Sq

De Witt, AR 720422057

Telephone 8709464221
Fax 8709461011
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in De Witt, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.5 Yrs
Regional Practice Density
10 Specialists

Practicing in De Witt, AR (2976 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License AR PD06117

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1013556042

Doctor of Pharmacy (Pharm.D.)

NPI 1336787308

Doctor of Pharmacy (Pharm.D.)

NPI 1497476204

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated August 28, 2024

Record deactivated on August 28, 2024

NPI Profile Active June 15, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 15, 2020

Registered at 220 COURT SQ, DE WITT, AR 720422057 (Tel: 8709464221)

📍
Updated Business Mailing Address June 15, 2020

Registered at 220 COURT SQ, DE WITT, AR 720422057 (Tel: 8709464221)

👤
Provider Name / Credentials Updated June 15, 2020

Recorded as TOMMY BLACK, P.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2020

Pharmacist (License #PD06117 in AR)

🟢
Initial NPI Registration & Enumeration June 15, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Tommy Black. Be the first to share your experience!

Sign in to leave a review for Tommy Black

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1306461421
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2020
Last Update: June 15, 2020
Deactivation Date: August 28, 2024

Mailing Address

220 Court Sq

De Witt, AR 720422057

Phone: 8709464221

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.