City Pharmacy of Springdale Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

06-149 Issued in AR

Legal business name

CITY PHARMACY OF SPRINGDALE INC

Doing business as

City Pharmacy

Practice address

701 S Thompson St
Suite a
Springdale, AR 72764-4248

Phone

(479) 751-2072

Fax

(479) 751-2341

NPI assigned

Sep 26, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. William Dwight Graves II, DP

Title

Pharmacist/Owner

Phone

(479) 751-2072

Specialties & licenses 1

Addresses

Other names 1

• CITY PHARMACY Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306832225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S THOMPSON ST",
            "address_2": "SUITE A",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727644248",
            "telephone_number": "479-751-2072",
            "fax_number": "479-751-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S THOMPSON ST",
            "address_2": "SUITE A",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727644248",
            "telephone_number": "479-751-2072",
            "fax_number": "479-751-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY PHARMACY OF SPRINGDALE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DWIGHT",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "479-751-2072",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DP"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "06-149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathryn Cingolani, LPN
• Circle of Life (Circle of Life Hospice)
• Circle of Life Palliative Care LLC
• Circle of Life Personal Care LLC
• City of Springdale (Springdale Ambulance Division)
• Kortney D Clamucha, LAC
• Christopher Robin Clark, M.D.
• Eleasha Clark, COTA
• Erin Clark, MHPP
• Kristyn Clark

• Pharmacist in Springdale, AR
• Providers in Springdale, AR by specialty
• Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.