Organization Active NPI

Charles F Shuster

Doing business as Springdale Family Pharmacy

  • Pharmacy
  • Springdale, AR
National Provider Identifier
1013009380
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
AR10299 Issued in AR
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100432407MedicaidAR

Other names 1

  • SPRINGDALE FAMILY PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.