DR. DIEDRA DOURTH PHARMD
NPI 1588264758
Pharmacist in Fayetteville, AR

Active since October 27, 2020
2875 W MARTIN LUTHER KING BLVD, FAYETTEVILLE, AR 72704(479) 521-4350 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Diedra Dourth Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DIEDRA DOURTH PHARMD (NPI 1588264758) is an individual pharmacist in Fayetteville, Arkansas, licensed in Arkansas (PD13529) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1588264758
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameDR. DIEDRA DOURTHCredential: PHARMD
Location Address2875 W MARTIN LUTHER KING BLVDFayetteville, AR 72704-7625
Mailing Address2875 W Martin Luther King BlvdFayetteville, AR 72704-7625 · (479) 521-4350
Sole ProprietorNo
Enumeration DateOctober 27, 2020
NPPES CertifiedOctober 27, 2020
NPI 1588264758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in AR · PD13529
Definition
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.
2875 W MARTIN LUTHER KING BLVD, Fayetteville, AR 72704

Other Identifiers 1

OtherPD13529AR · State License

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
2875 W MARTIN LUTHER KING BLVD
FAYETTEVILLE, AR 72704
Pharmacist
2875 W MARTIN LUTHER KING BLVD, WALMART PHARMACY
FAYETTEVILLE, AR 72704
Pharmacist
2875 W MARTIN LUTHER KING BLVD
FAYETTEVILLE, AR 72704

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diedra Dourth's NPI number?

The NPI number for Diedra Dourth is 1588264758. It was assigned to this individual provider in the NPPES registry on October 27, 2020.

Where is Diedra Dourth located?

Diedra Dourth practices at 2875 W Martin Luther King Blvd, Fayetteville, AR 72704. The listed phone number is (479) 521-4350.

What is Diedra Dourth's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Diedra Dourth was last updated on October 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.