Individual provider Active NPI

James Liddell McCarley Jr., BS PHARM, PD

  • Pharmacist
  • Rogers, AR
National Provider Identifier
1184330300
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PD07487 Issued in AR
Practice address
1722 W Walnut St
Rogers, AR 72756-3324
Phone
(479) 246-0196
Fax
(479) 246-0203
NPI assigned
Jan 31, 2023
Last updated
Jan 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PD07487 AR Primary

Addresses

Primary practice location

1722 W Walnut St
Rogers, AR 72756-3324

Mailing address

1722 W Walnut St
Rogers, AR 72756-3324
Phone (479) 246-0196

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
Bachelor of Science, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PD07487ARMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Compounding, LLC Current Accepting new patients
Walgreen Co PastSince Feb 8, 2023 Accepting new patients
Walgreen Co PastSince Feb 8, 2023 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1184330300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 W WALNUT ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563324",
            "telephone_number": "479-246-0196",
            "fax_number": "479-246-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 W WALNUT ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563324",
            "telephone_number": "479-246-0196",
            "fax_number": "479-246-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARLEY",
        "first_name": "JAMES",
        "middle_name": "LIDDELL",
        "name_suffix": "Jr.",
        "credential": "BS PHARM, PD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD07487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.