Active NPI
Rebecca Fong, PHARMD
- Pharmacist
- Little Rock, AR
National Provider Identifier
1225655236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 44193
- Practice address
- 4300 W 7TH St
Little Rock, AR 72205-5446 - Phone
- (901) 356-8739
- NPI assigned
- Jun 26, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 44193 | TN | Primary |
Addresses
Primary practice location
4300 W 7TH St
Little Rock, AR 72205-5446
Mailing address
5400 Chenonceau Blvd Apt 301
Little Rock, AR 72223-4735
Other practice location 1
1030 Jefferson Ave
Memphis, TN 38104-2127
Phone (901) 523-8990
Other practice location 2
915 N Grand Blvd
Saint Louis, MO 63106-1621
Phone (314) 652-4100 ext. 54599
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 |
|---|---|---|---|
| 44193 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681862400000",
"number": "1225655236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 CHENONCEAU BLVD APT 301",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722234735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 W 7TH ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722055446",
"telephone_number": "901-356-8739"
}
],
"practiceLocations": [
{
"address_1": "1030 Jefferson Ave",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381042127",
"country_code": "US",
"telephone_number": "901-523-8990",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "915 N Grand Blvd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631061621",
"country_code": "US",
"telephone_number": "314-652-4100 x54599",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FONG",
"first_name": "REBECCA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-26",
"last_updated": "2023-04-19",
"certification_date": "2023-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "44193",
"primary": true
}
],
"identifiers": [],
"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 Apr 19, 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.