Emmanuel Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

AR20149 Issued in AR

Legal business name

EMMANUEL INC

Practice address

2125 College Ave
Suite 1
Conway, AR 72034-6210

Phone

(501) 327-8088

Fax

(501) 730-0220

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Rob Harkness

Title

VP

Phone

(501) 327-8088

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• COLLEGE PHARMACY Doing business as

Tax ID family

College Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Park Place Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Conway, AR
  • NPI 1003985144
  NPD tax ID

Locations

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1306985353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 COLLEGE AVE",
            "address_2": "SUITE 1",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 COLLEGE AVE",
            "address_2": "SUITE 1",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346210",
            "telephone_number": "501-327-8088",
            "fax_number": "501-730-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMANUEL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "HARKNESS",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "501-327-8088"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR20149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0411671",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "0411671",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COLLEGE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Virgil Edward Ellis III, D.D.S.
• Makayla A Ellison
• Jared Richard Elmquist Jr., PA
• Emeritus Corporation
• Emeritus Properties-Arkansas, LLC
• Enlightened Counseling PLLC
• Natalie Ennis, LAC
• Epoch Health - Conway, PLLC
• McKenzie Epperson
• Tiffany Epperson, APRN

• Community/Retail Pharmacy in Conway, AR
• Providers in Conway, AR by specialty
• Community/Retail Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; 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.