Active NPI
Nea Pharmaceuticals
Doing business as DBA Parker Road Specialty Pharmacy - Clinic
- Community/Retail Pharmacy
- Jonesboro, AR
National Provider Identifier
1265786354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- AR03802
- 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 PHARMACEUTICALS
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D2261822 | Parker Road Specialty Pharmacy | Certificate of waiver | Jun 5, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Nea Pharmaceuticals Inc
- 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.
-
dba Parker Road Speciality Pharmacy
- Long Term Care Pharmacy
- Jonesboro, AR
- NPI 1376225326
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
- Nea Massage Therapy, LLC
- Nea Massage Therapy, LLC (NEA School of Massage)
- Nea Medsource, Inc
- Nea Neuropsychology, PLLC
- Nea Optical, Inc
- Nea Pharmaceuticals Inc (Parker Road Speciality Pharmacy)
- Nea Pharmaceuticals Inc (Parker Road Speciality Pharmacy)
- Nea Therapy Providers, LLC
- Amber Neal
- Dayana La'Sha Canitra Neal
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.