Active NPI
Shinabery'S Compounding Pharmacy, PLC
- Pharmacist
- Jonesboro, AR
National Provider Identifier
1043426729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- AR20228
- Legal business name
- SHINABERY'S COMPOUNDING PHARMACY, PLC
- Practice address
- 1000 E Matthews Ave Ste F
Jonesboro, AR 72401-4344 - Phone
- (870) 933-6369
- Fax
- (870) 933-6378
- NPI assigned
- May 16, 2007
- 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
- Dr. Randy Lee Shinabery Jr., PHARM.D.
- Title
- Owner
- Phone
- (870) 933-6369
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | AR20228 | AR | Primary |
Addresses
Primary practice location
1000 E Matthews Ave Ste F
Jonesboro, AR 72401-4344
Mailing address
1000 E Matthews Ave Ste F
Jonesboro, AR 72401-4344
Phone (870) 933-6369
National Provider Directory
National Provider DirectoryLocations
1000 E Matthews Ave
Ste F
Jonesboro, AR 72401
Phone (870) 910-0400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1237766400000",
"number": "1043426729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 E MATTHEWS AVE STE F",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724014344",
"telephone_number": "870-933-6369",
"fax_number": "870-933-6378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E MATTHEWS AVE STE F",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724014344",
"telephone_number": "870-933-6369",
"fax_number": "870-933-6378"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHINABERY'S COMPOUNDING PHARMACY, PLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-16",
"last_updated": "2009-03-23",
"status": "A",
"authorized_official_last_name": "SHINABERY",
"authorized_official_first_name": "RANDY",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "870-933-6369",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "PHARM.D."
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "AR",
"license": "AR20228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.