Organization Active NPI

Finley Pharmacy PLLC

  • Community/Retail Pharmacy
  • Benton, AR
National Provider Identifier
1073868063
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
AR20678 Issued in AR
Legal business name
FINLEY PHARMACY PLLC
Practice address
1016 W South St
Suite 1
Benton, AR 72015-4051
Phone
(501) 315-5100
Fax
(501) 776-1313
NPI assigned
Jul 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Authorized official

Name
Timothy Finley, PHARMD
Title
Owner/Pharmacist in Charge
Phone
(501) 315-5100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X AR20678 AR Primary

Addresses

Primary practice location

1016 W South St
Suite 1
Benton, AR 72015-4051

Mailing address

1016 W South St
Suite 1
Benton, AR 72015-4051
Phone (501) 315-5100

Other identifiers 1

IdentifierTypeStateIssuer
2136206OtherPK

Other names 1

  • Finley Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131026000046 AR Part B Supplier - Mass Immunization (Roster Biller Only) 8527211598 Practice locations: Benton, AR

National Provider Directory

National Provider Directory

Locations

1016 W South St
Benton, AR 72015
Phone (501) 315-5100

1016 W South St
Ste 1
Benton, AR 72015
Phone (501) 315-5100

Practitioners & affiliated clinicians

Practitioners 4

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": "1342483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450051200000",
    "number": "1073868063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 W SOUTH ST",
            "address_2": "SUITE 1",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720154051",
            "telephone_number": "501-315-5100",
            "fax_number": "501-776-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 W SOUTH ST",
            "address_2": "SUITE 1",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720154051",
            "telephone_number": "501-315-5100",
            "fax_number": "501-776-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FINLEY PHARMACY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-17",
        "last_updated": "2015-12-14",
        "status": "A",
        "authorized_official_last_name": "FINLEY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER/PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "501-315-5100",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR20678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2136206",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Finley Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Benton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.