Organization Active NPI

Specialty Medical Supply of Arkansas

  • Pharmacy
  • Little Rock, AR
National Provider Identifier
1083682363
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
OS02062 Issued in AR
Legal business name
SPECIALTY MEDICAL SUPPLY OF ARKANSAS
Practice address
806 N University Ave
Little Rock, AR 72205-2920
Phone
(501) 907-6490
Fax
(800) 972-2925
NPI assigned
Mar 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Bain Foote
Title
Managing Partner
Phone
(501) 907-6490

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 3820 AR
Pharmacy 333600000X OS02062 AR Primary

Addresses

Primary practice location

806 N University Ave
Little Rock, AR 72205-2920

Mailing address

806 N University Ave
Little Rock, AR 72205-2920
Phone (501) 907-6490

National Provider Directory

National Provider Directory

Locations

806 N University Ave
Little Rock, AR 72205
Phone (501) 663-9205

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1083682363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 N UNIVERSITY AVE",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052920",
            "telephone_number": "501-907-6490",
            "fax_number": "800-972-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 N UNIVERSITY AVE",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052920",
            "telephone_number": "501-907-6490",
            "fax_number": "800-972-2925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY MEDICAL SUPPLY OF ARKANSAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-10",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "FOOTE",
        "authorized_official_first_name": "BAIN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "501-907-6490",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AR",
            "license": "3820",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AR",
            "license": "OS02062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.