Organization Active NPI

Park Place Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Conway, AR
National Provider Identifier
1003985144
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PARK PLACE PHARMACY
Practice address
2835 College Ave
Conway, AR 72034-6144
Phone
(501) 327-4468
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kara Shipp
Title
Pharmacist
Phone
(501) 327-4468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2835 College Ave
Conway, AR 72034-6144

Mailing address

2835 College Ave
Conway, AR 72034-6144

National Provider Directory

National Provider Directory
Tax ID family
College Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2835 College Ave
Conway, AR 72034
Phone (501) 327-4468

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003985144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 COLLEGE AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 COLLEGE AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346144",
            "telephone_number": "501-327-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK PLACE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHIPP",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "501-327-4468"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.