NPIMap

Organization Active NPI

Conway Hematology Oncology PLLC

  • Oncology Pharmacist
  • Conway, AR
National Provider Identifier
1346601614
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology PharmacistTaxonomy code 1835X0200X
License
C8494 Issued in AR
Legal business name
CONWAY HEMATOLOGY ONCOLOGY PLLC
Practice address
350 Salem Rd Ste 4
Conway, AR 72034-6166
Phone
(501) 327-2995
Fax
(501) 327-2583
NPI assigned
Mar 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Authorized official

Name
Priscilla Klosky
Title
Office Coordinator
Phone
(501) 327-2995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 1835X0200X C8494 AR Primary

Addresses

Primary practice location

350 Salem Rd Ste 4
Conway, AR 72034-6166

Mailing address

350 Salem Rd Ste 4
Conway, AR 72034-6166
Phone (501) 327-2995

Other identifiers 1

IdentifierTypeStateIssuer
123637001MedicaidAR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1346601614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 SALEM RD STE 4",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346166",
            "telephone_number": "501-327-2995",
            "fax_number": "501-327-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 SALEM RD STE 4",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346166",
            "telephone_number": "501-327-2995",
            "fax_number": "501-327-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONWAY HEMATOLOGY ONCOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-15",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "KLOSKY",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_title_or_position": "OFFICE COORDINATOR",
        "authorized_official_telephone_number": "501-327-2995"
    },
    "taxonomies": [
        {
            "code": "1835X0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Oncology",
            "state": "AR",
            "license": "C8494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123637001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.