Active NPI
Timothy Eubanks, PHARMD
- Pharmacist
- Little Rock, AR
National Provider Identifier
1275947616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD12712
- Practice address
- 20381 Arch St
Little Rock, AR 72206-9218 - Phone
- (501) 888-2830
- Fax
- (501) 888-3118
- NPI assigned
- Jun 13, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | PD12712 | AR | Primary |
Addresses
Primary practice location
20381 Arch St
Little Rock, AR 72206-9218
Mailing address
20381 Arch St
Little Rock, AR 72206-9218
Phone (501) 888-2830
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 |
|---|---|---|---|
| PD12712 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East End Pharmacy, Inc. | Past | Accepting new patients | |
| East End Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Little Rock, AR
- NPI 1225166762
-
- Pharmacy
- Little Rock, AR
- NPI 1023159282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402617600000",
"number": "1275947616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20381 ARCH ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722069218",
"telephone_number": "501-888-2830",
"fax_number": "501-888-3118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20381 ARCH ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722069218",
"telephone_number": "501-888-2830",
"fax_number": "501-888-3118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EUBANKS",
"first_name": "TIMOTHY",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-13",
"last_updated": "2014-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD12712",
"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 Jun 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.