Organization Active NPI

Pharmcare USA of Arkansas, LLC

  • Long Term Care Pharmacy
  • North Little Rock, AR
National Provider Identifier
1083381446
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
PHARMCARE USA OF ARKANSAS, LLC
Doing business as
Pharmcare USA of Little Rock
Practice address
9600 Maumelle Blvd
North Little Rock, AR 72113-7252
Phone
(501) 246-3521
Fax
(501) 353-2528
NPI assigned
Aug 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Authorized official

Name
Kent Abbott
Title
Manager/Ceo
Phone
(405) 204-9783

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

9600 Maumelle Blvd
North Little Rock, AR 72113-7252

Mailing address

PO Box 10
Hydro, OK 73048-0010
Phone (866) 219-3619

Other names 1

  • Pharmcare USA of Little Rock Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230630000033 AR Part B Supplier - Mass Immunization (Roster Biller Only) 3870952443 Practice locations: North Little Rock, AR
O20230714001118 AR DME Supplier - Pharmacy 3870952443 Practice locations: North Little Rock, AR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Pharmcare USA of Little Rock9600 Maumelle Blvd, North Little Rock, AR 72113-7252(501) 246-3521 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since May 17, 2023

National Provider Directory

National Provider Directory

Locations

9600 Maumelle Blvd
North Little Rock, AR 72113
Phone (501) 246-3521

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": "1629763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1083381446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "HYDRO",
            "state": "OK",
            "postal_code": "730480010",
            "telephone_number": "866-219-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 MAUMELLE BLVD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721137252",
            "telephone_number": "501-246-3521",
            "fax_number": "501-353-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMCARE USA OF ARKANSAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "ABBOTT",
        "authorized_official_first_name": "KENT",
        "authorized_official_title_or_position": "MANAGER/CEO",
        "authorized_official_telephone_number": "405-204-9783"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmcare USA of Little Rock",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.