KODI LIDDELL
NPI 1669968061
Pharmacist in Jonesboro, AR

Active since July 09, 2018
311 E MATTHEWS AVE, JONESBORO, AR 72401(870) 336-7945 Get Directions Write a Review

NPPES record last updated: June 4, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 4, 2020, Jul 9, 2018 (2 updates tracked since 2018).

About Kodi Liddell NPPES

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

KODI LIDDELL (NPI 1669968061) is an individual pharmacist in Jonesboro, Arkansas, licensed in Arkansas (PD14558) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1669968061
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameKODI LIDDELL
Location Address311 E MATTHEWS AVEJonesboro, AR 72401-3125
Mailing Address311 E Matthews AveJonesboro, AR 72401-3125
Sole ProprietorNo
Enumeration DateJuly 9, 2018
Last NPPES UpdateJune 4, 20202 updates tracked since enumeration
NPPES CertifiedJune 4, 2020
NPI 1669968061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in AR · PD14558
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.
311 E MATTHEWS AVE, Jonesboro, AR 72401

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
311 E MATTHEWS AVE
JONESBORO, AR 72401
Family Medicine
311 E MATTHEWS AVE
JONESBORO, AR 72401
Student in an Organized Health Care Education/Training Program
311 E MATTHEWS AVE
JONESBORO, AR 72401
Student in an Organized Health Care Education/Training Program
311 E MATTHEWS AVE
JONESBORO, AR 72401
Pediatrics (Pediatric Gastroenterology)
311 E MATTHEWS AVE
JONESBORO, AR 72401
Student in an Organized Health Care Education/Training Program
311 E MATTHEWS AVE
JONESBORO, AR 72401
Student in an Organized Health Care Education/Training Program
311 E MATTHEWS AVE
JONESBORO, AR 72401
Thoracic Surgery (Cardiothoracic Vascular Surgery)
311 E MATTHEWS AVE
JONESBORO, AR 72401

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 Kodi Liddell's NPI number?

The NPI number for Kodi Liddell is 1669968061. It was assigned to this individual provider in the NPPES registry on July 9, 2018.

Where is Kodi Liddell located?

Kodi Liddell practices at 311 E Matthews Ave, Jonesboro, AR 72401. The listed phone number is (870) 336-7945.

What is Kodi Liddell'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 Kodi Liddell was last updated on June 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.