Active NPI
Ray Gordon Price, PD
- Pharmacist
- Springdale, AR
National Provider Identifier
1275954026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 05988
- Practice address
- 2004 S Pleasant St
Springdale, AR 72764-6204 - Phone
- (479) 756-0860
- NPI assigned
- Dec 20, 2013
- Last updated
- Nov 29, 2015
- 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 | 05988 | AR | Primary |
Addresses
Primary practice location
2004 S Pleasant St
Springdale, AR 72764-6204
Mailing address
17718 Bluffview Dr
Springdale, AR 72764-9293
Phone (479) 751-0875
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05988 | AR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448755200000",
"number": "1275954026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17718 BLUFFVIEW DR",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727649293",
"telephone_number": "479-751-0875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2004 S PLEASANT ST",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727646204",
"telephone_number": "479-756-0860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "RAY",
"middle_name": "GORDON",
"name_prefix": "Mr.",
"credential": "PD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-12-20",
"last_updated": "2015-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "05988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springdale, AR
- Preferred Family Healthcare Inc (Dayspring Behavioral Health Services)
- Premier Pharmacy Care, LLC
- Johnny Lee Presley Jr.
- Jessica Beth Preston, APRN-PMHNP
- Mitchell Craig Preston, M.D.
- James Lee Pridmore, LCSW
- Jennifer Pridmore, ATC, LAT
- Prince Ventures LLC (Advanced Therapeutic Assist)
- Robin Prince, PHARMD
- Sara Rachel Prine, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.