Organization Active NPI

Nea Pharmaceuticals

Doing business as DBA Parker Road Specialty Pharmacy - Clinic

  • Community/Retail Pharmacy
  • Jonesboro, AR
National Provider Identifier
1265786354
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
AR03802 Issued in AR
Legal business name
NEA PHARMACEUTICALS
Doing business as
DBA Parker Road Specialty Pharmacy - Clinic
Practice address
1109 W. Parker Road
Jonesboro, AR 72404-9583
Phone
(870) 935-6400
Fax
(870) 935-4027
NPI assigned
Oct 29, 2012
Organization subpart
Yes
Parent organization
NEA PHARMACEUTICALSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Authorized official

Name
Mr. Michael Alan Soo, P.D.
Title
Owner/Pharmacists
Phone
(870) 935-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X AR03802 AR Primary

Addresses

Primary practice location

1109 W. Parker Road
Jonesboro, AR 72404-9583

Mailing address

1109 W. Parker Road
Jonesboro, AR 72404-9583
Phone (870) 935-6400

Other names 1

  • DBA Parker Road Specialty Pharmacy - Clinic Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2261822Parker Road Specialty Pharmacy1109 W Parker Road, Jonesboro, AR 72404Certificate of waiverJun 5, 2028

National Provider Directory

National Provider Directory
Tax ID family
Nea Pharmaceuticals Inc2 organizations share this tax ID, including this one
Part of
Nea Pharmaceuticals Inc

Other organizations with this tax ID 1

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": "1351468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1265786354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 W. PARKER ROAD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724049583",
            "telephone_number": "870-935-6400",
            "fax_number": "870-935-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 W. PARKER ROAD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724049583",
            "telephone_number": "870-935-6400",
            "fax_number": "870-935-4027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEA PHARMACEUTICALS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEA PHARMACEUTICALS",
        "enumeration_date": "2012-10-29",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "SOO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER/PHARMACISTS",
        "authorized_official_telephone_number": "870-935-6400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR03802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Parker Road Specialty Pharmacy - Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DBA Parker Road Specialty Pharmacy - Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.