East End Pharmacy, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

AR12988 Issued in AR

Legal business name

EAST END PHARMACY, INC.

Practice address

20381 Arch St
Little Rock, AR 72206-9218

Phone

(501) 888-2830

Fax

(501) 888-3118

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Erin Brenna Greene, PHARMDNPI 1457076960

Title

Secretary

Phone

(501) 888-2830

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Tax ID family

East End Pharmacy Inc2 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.

• East End Pharmacy Inc

  • Durable Medical Equipment & Medical Supplies
  • Little Rock, AR
  • NPI 1225166762
  NPD tax ID

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erin B Greene, PHARMD

  • Pharmacist
  • Hensley, AR
  • NPI 1457076960
  NPD (past) Authorized official
• Timothy Eubanks, PHARMD

  • Pharmacist
  • Little Rock, AR
  • NPI 1275947616
  NPD (past)
• Michael Shane Greene, PHARM. D.

  • Pharmacist
  • Little Rock, AR
  • NPI 1083755243
  NPD (past)
• Mark Steven Riley, PHARM. D.

  • Pharmacist
  • Little Rock, AR
  • NPI 1316088677
  NPD (past)
• Emily Weeks, PHARMD

  • Pharmacist
  • Little Rock, AR
  • NPI 1992301469
  NPD (past)
• Demee Williams

  • Pharmacist
  • Little Rock, AR
  • NPI 1497351852
  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1023159282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20381 ARCH ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722069218",
            "telephone_number": "501-888-2830",
            "fax_number": "501-888-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20381 ARCH ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722069218",
            "telephone_number": "501-888-2830",
            "fax_number": "501-888-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST END PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "BRENNA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "501-888-2830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AR",
            "license": "AR12988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100817407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandy Eason
• Bridgette Louise Eason
• Gregory Dallas Eason, PT
• Kimberlee Eason, PHARMD
• East End Pharmacy Inc
• Chris Richard Eastburn
• Mallory Elizabeth Eastburn, MD
• Tiffany Elise Eastburn
• Easter Seals Arkansas
• Easter Seals Arkansas

• All providers in Little Rock, AR
• Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.