NPIMap

Organization Active NPI

Sam's Club Pharmacy

  • Community/Retail Pharmacy
  • Conway, AR
National Provider Identifier
1023466281
Registry record updated May 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PD07386 Issued in AR
Legal business name
SAM'S CLUB PHARMACY
Practice address
1850 S Donaghey Ave
Conway, AR 72034-8659
Phone
(501) 733-0228
NPI assigned
May 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2016

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

Authorized official

Name
Dr. Kim Binkley SmithNPI 1265967772
Title
Pharmacist
Phone
(501) 733-0228

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PD07386 AR Primary

Addresses

Primary practice location

1850 S Donaghey Ave
Conway, AR 72034-8659

Mailing address

1850 S Donaghey Ave
Conway, AR 72034-8659
Phone (501) 625-7212

National Provider Directory

National Provider Directory
Tax ID family
Ability Network281 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1464393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464393600000",
    "number": "1023466281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 S DONAGHEY AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720348659",
            "telephone_number": "501-625-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 S DONAGHEY AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720348659",
            "telephone_number": "501-733-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM'S CLUB PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-28",
        "last_updated": "2016-05-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "BINKLEY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "501-733-0228",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "PD07386",
            "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 May 28, 2016; 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.