Active NPI
Brandon Achor, PHARMD
- Pharmacist
- Maumelle, AR
National Provider Identifier
1104310366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD13065
- Practice address
- 1900 Club Manor Dr Ste 101a
Maumelle, AR 72113-7443 - Phone
- (501) 274-1130
- Fax
- (501) 274-1131
- NPI assigned
- Jun 20, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD13065 | AR | Primary |
Addresses
Primary practice location
1900 Club Manor Dr Ste 101a
Maumelle, AR 72113-7443
Mailing address
192 Maumelle Valley Dr
Maumelle, AR 72113-7618
Phone (501) 681-5740
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD13065 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cash Saver Pharmacy LLC | Current | Accepting new patients | |
| Achor Management Inc | Current | Accepting new patients | |
| Arcare | Past | Accepting new patients |
Locations
1900 Club Manor Dr
Ste 101A
Maumelle, AR 72113
Phone (501) 274-1130
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Little Rock, AR
- NPI 1114617040
-
- Community/Retail Pharmacy
- Lonoke, AR
- NPI 1740334184
-
- Family Medicine Physician
- Maumelle, AR
- NPI 1215586797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691884800000",
"number": "1104310366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "192 MAUMELLE VALLEY DR",
"city": "MAUMELLE",
"state": "AR",
"postal_code": "721137618",
"telephone_number": "501-681-5740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 CLUB MANOR DR STE 101A",
"city": "MAUMELLE",
"state": "AR",
"postal_code": "721137443",
"telephone_number": "501-274-1130",
"fax_number": "501-274-1131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACHOR",
"first_name": "BRANDON",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-20",
"last_updated": "2023-08-13",
"certification_date": "2023-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD13065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maumelle, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.