Carescript Pharmacy, LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

AR20636 Issued in AR

Legal business name

CARESCRIPT PHARMACY, LLC

Practice address

2910 Jenny Lind Rd
Building 4
Fort Smith, AR 72901-6735

Phone

(479) 494-0100

Fax

(479) 494-0102

NPI assigned

Apr 29, 2011

Last updated

Jul 5, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jim Petrus

Title

Partner

Phone

(479) 494-0100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341446400000",
    "number": "1023309671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 JENNY LIND RD",
            "address_2": "BUILDING 4",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729016735",
            "telephone_number": "479-494-0100",
            "fax_number": "479-494-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 JENNY LIND RD",
            "address_2": "BUILDING 4",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729016735",
            "telephone_number": "479-494-0100",
            "fax_number": "479-494-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARESCRIPT PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-29",
        "last_updated": "2012-07-05",
        "status": "A",
        "authorized_official_last_name": "PETRUS",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "479-494-0100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AR",
            "license": "AR20636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "AR 20636",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Candelaria
• Karen Cano, QBHP
• Larry Ross Cantrell, LPC
• Antonia Cardona Chavez, QBHP
• Taylor McKenzie Cardwell
• Carl Cody Friddle, PLLC
• Carl E. Stevens, M.D., PLLC
• Carl R. Friddle, DDS, PA
• Andrea Nicole Carlile, LAC
• Laurie Lynn Carlton, APRN, AGNP

• Pharmacy in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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.