Active NPI
Park Place Pharmacy
- Durable Medical Equipment & Medical Supplies
- Conway, AR
National Provider Identifier
1003985144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Conway, AR
- NPI 1306985353
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.