Kavanaughrx LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

KAVANAUGHRX LLC

Practice address

5200 Kavanaugh Blvd
Little Rock, AR 72207-4609

Phone

(501) 664-3844

NPI assigned

Aug 1, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Kenny Harrison, PHARMD

Title

Owner

Phone

(501) 580-1895

Specialties & licenses 1

Addresses

Other names 1

• Kavanaugh Pharmacy Doing business as

Practitioners 1

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

• Anne Courtney Pace, PHARM.D.

  • Pharmacist
  • Little Rock, AR
  • NPI 1437263613
  NPD

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1073295028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 KAVANAUGH BLVD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722074609",
            "telephone_number": "501-664-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 KAVANAUGH BLVD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722074609",
            "telephone_number": "501-664-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAVANAUGHRX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-580-1895",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kavanaugh Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mandeep Kaur
• Surinder Kaur
• Kavanaugh Dental
• Kavanaugh Pharmacy
• Crystal Louise Kavanaugh, LPE (PROVISIONAL)
• Kavanaughrx LLC
• Jerri Lynn Kay
• Rana Kayali, M.D.
• Cheryl Kaye, PHARM.D.
• James Cooper Keane, M.D.

• Long Term Care Pharmacy in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Long Term Care Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.