Organization Active NPI

Shinabery'S Compounding Pharmacy, PLC

  • Pharmacist
  • Jonesboro, AR
National Provider Identifier
1043426729
Registry record updated Mar 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
AR20228 Issued in AR
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

Updated by the provider on Mar 23, 2009

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)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.