Active NPI
Healthcare Pharmacy, Inc.
- Specialty Pharmacy
- Little Rock, AR
National Provider Identifier
1154545788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialty Pharmacy
- Legal business name
- HEALTHCARE PHARMACY, INC.
- Practice address
- 3401 Atwood Rd Ste F
Little Rock, AR 72206-6012 - Phone
- (501) 888-7514
- Fax
- (501) 888-7504
- NPI assigned
- Apr 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jerry Stephens, RPH
- Title
- Presidient
- Phone
- (501) 888-7514
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Institutional Pharmacy | 3336I0012X | 0416215 | AR | |
| Specialty Pharmacy | 3336S0011X | Primary |
Addresses
Primary practice location
3401 Atwood Rd Ste F
Little Rock, AR 72206-6012
Mailing address
3401 Atwood Rd Ste F
Little Rock, AR 72206-6012
Phone (501) 888-7514
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149687407 | Medicaid | AR |
National Provider Directory
National Provider Directory- Tax ID family
- Healthcare Pharmacy Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Little Rock, AR
- NPI 1659204600
-
- Long Term Care Pharmacy
- Little Rock, AR
- NPI 1760470520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1548115200000",
"number": "1154545788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 ATWOOD RD STE F",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722066012",
"telephone_number": "501-888-7514",
"fax_number": "501-888-7504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 ATWOOD RD STE F",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722066012",
"telephone_number": "501-888-7514",
"fax_number": "501-888-7504"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHCARE PHARMACY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-13",
"last_updated": "2019-01-22",
"status": "A",
"authorized_official_last_name": "STEPHENS",
"authorized_official_first_name": "JERRY",
"authorized_official_title_or_position": "PRESIDIENT",
"authorized_official_telephone_number": "501-888-7514",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336I0012X",
"taxonomy_group": "",
"desc": "Pharmacy, Institutional Pharmacy",
"state": "AR",
"license": "0416215",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149687407",
"state": "AR"
}
],
"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 Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.