Organization Active NPI

Healthcare Pharmacy, Inc.

  • Specialty Pharmacy
  • Little Rock, AR
National Provider Identifier
1154545788
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
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

Updated by the provider on Jan 22, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
149687407MedicaidAR

National Provider Directory

National Provider Directory
Tax ID family
Healthcare Pharmacy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.