Active NPI
Meggan Edmondson
- Pharmacist
- Little Rock, AR
National Provider Identifier
1306580824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD14530
- Practice address
- 11121 N Rodney Parham Rd Ste 42B
Little Rock, AR 72212-4108 - Phone
- (501) 223-2636
- Fax
- (501) 224-5253
- NPI assigned
- Apr 21, 2022
- Sex
- Female
- 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 | PD14530 | AR | Primary |
Addresses
Primary practice location
11121 N Rodney Parham Rd Ste 42B
Little Rock, AR 72212-4108
Mailing address
11121 N Rodney Parham Rd Ste 42B
Little Rock, AR 72212-4108
Phone (501) 223-2636
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 |
|---|---|---|---|
| PD14530 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drug Store Inc | Current | Accepting new patients | |
| Drug Store, Inc | Past | Accepting new patients |
Locations
11121 N Rodney Parham Rd
Ste 42B
Little Rock, AR 72212
Phone (501) 223-2636
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690243200000",
"number": "1306580824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11121 N RODNEY PARHAM RD STE 42B",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722124108",
"telephone_number": "501-223-2636",
"fax_number": "501-224-5253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11121 N RODNEY PARHAM RD STE 42B",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722124108",
"telephone_number": "501-223-2636",
"fax_number": "501-224-5253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDMONDSON",
"first_name": "MEGGAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-21",
"last_updated": "2023-07-25",
"certification_date": "2023-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD14530",
"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 Jul 25, 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.