Active NPI
Charles F Shuster
Doing business as Springdale Family Pharmacy
- Pharmacy
- Springdale, AR
National Provider Identifier
1013009380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- AR10299
- Legal business name
- CHARLES F SHUSTER
- Doing business as
- Springdale Family Pharmacy
- Practice address
- 400 W Emma Ave
Springdale, AR 72764-4471 - Phone
- (479) 751-7408
- Fax
- (479) 751-0304
- NPI assigned
- Sep 28, 2006
- Last updated
- Jun 16, 2008
- 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
- Charles Freeman Shuster
- Title
- Owner
- Phone
- (479) 751-7408
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | AR10299 | AR | Primary |
Addresses
Primary practice location
400 W Emma Ave
Springdale, AR 72764-4471
Mailing address
400 W Emma Ave
Springdale, AR 72764-4471
Phone (479) 751-7408
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100432407 | Medicaid | AR |
Other names 1
- SPRINGDALE FAMILY PHARMACY
National Provider Directory
National Provider DirectoryLocations
400 W Emma Ave
Springdale, AR 72764
Phone (479) 750-2220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213574400000",
"number": "1013009380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W EMMA AVE",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727644471",
"telephone_number": "479-751-7408",
"fax_number": "479-751-0304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W EMMA AVE",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727644471",
"telephone_number": "479-751-7408",
"fax_number": "479-751-0304"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLES F SHUSTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-28",
"last_updated": "2008-06-16",
"status": "A",
"authorized_official_last_name": "SHUSTER",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "FREEMAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "479-751-7408"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "AR",
"license": "AR10299",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100432407",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SPRINGDALE FAMILY PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.