Kavanaugh Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

AR04183 Issued in AR

Legal business name

KAVANAUGH PHARMACY

Practice address

5008 Kavanaugh Blvd
Little Rock, AR 72207-4747

Phone

(501) 664-3844

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Thomas Gregory Cooper, P.D.

Title

Pharmacist-in-Charge

Phone

(501) 664-3844

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Kori Raymer Gordon

  • Pharmacist
  • Little Rock, AR
  • NPI 1881297398
  NPD (past)
• Richard Scott Pace, PHARM.D.

  • Pharmacist
  • Little Rock, AR
  • NPI 1831106632
  NPD (past)

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1093858698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5008 KAVANAUGH BLVD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722074747",
            "telephone_number": "501-664-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5008 KAVANAUGH BLVD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722074747",
            "telephone_number": "501-664-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAVANAUGH PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "501-664-3844",
        "authorized_official_credential": "P.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR04183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "0404183",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Risheek Kaul, M.D
• Jagdeep Kaur
• Mandeep Kaur
• Surinder Kaur
• Kavanaugh Dental
• Crystal Louise Kavanaugh, LPE (PROVISIONAL)
• Kavanaughrx LLC
• Kavanaughrx LLC
• Jerri Lynn Kay
• Rana Kayali, M.D.

• Community/Retail Pharmacy in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Community/Retail Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.