Organization Active NPI

Allcare Specialty Pharmacy LLC

Doing business as Allcare Specialty Pharmacy

  • Community/Retail Pharmacy
  • Little Rock, AR
National Provider Identifier
1366706244
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
112770 Issued in AK
Legal business name
ALLCARE SPECIALTY PHARMACY LLC
Doing business as
Allcare Specialty Pharmacy
Practice address
10620 Colonel Glenn Rd Ste 300
Little Rock, AR 72204-8048
Phone
(501) 217-8880
Fax
(501) 217-8885
NPI assigned
Jun 26, 2012
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Amber Haycox
Title
VP of Revenue Operations
Phone
(870) 403-9400

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 4675 IA
Community/Retail Pharmacy 3336C0003X 054.020009 IL
Community/Retail Pharmacy 3336C0003X PMP1279 HI
Community/Retail Pharmacy 3336C0003X AR2157 KY
Community/Retail Pharmacy 3336C0003X PH29984 FL
Community/Retail Pharmacy 3336C0003X 22-45089 KS
Community/Retail Pharmacy 3336C0003X PCN.0003097 CT
Community/Retail Pharmacy 3336C0003X 41734MS ID
Community/Retail Pharmacy 3336C0003X 112770 AK Primary
Community/Retail Pharmacy 3336C0003X OSP.0006831 CO
Community/Retail Pharmacy 3336C0003X 64002098A IN
Community/Retail Pharmacy 3336C0003X PHNR000959 GA
Community/Retail Pharmacy 3336C0003X PHY.007361-NR LA
Community/Retail Pharmacy 3336C0003X A9-0001928 DE
Community/Retail Pharmacy 3336C0003X NRX1801311 DC

Addresses

Primary practice location

10620 Colonel Glenn Rd Ste 300
Little Rock, AR 72204-8048

Mailing address

10620 Colonel Glenn Rd Ste 300
Little Rock, AR 72204-8048
Phone (877) 420-9400

Other identifiers 1

IdentifierTypeStateIssuer
2135880OtherPK

Other names 1

  • Allcare Specialty Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130221000234 AR Part B Supplier - Pharmacy 5193970226 Practice locations: Little Rock, AR
O20160908000032 AR DME Supplier - Pharmacy 5193970226 Practice locations: Little Rock, AR

National Provider Directory

National Provider Directory

Locations

10620 Colonel Glenn Rd
Ste 300
Little Rock, AR 72204
Phone (501) 217-8880

1523 S Bowman Rd
Ste G
Little Rock, AR 72211
Phone (501) 217-8880

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1366706244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10620 COLONEL GLENN RD STE 300",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722048048",
            "telephone_number": "877-420-9400",
            "fax_number": "501-217-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10620 COLONEL GLENN RD STE 300",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722048048",
            "telephone_number": "501-217-8880",
            "fax_number": "501-217-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLCARE SPECIALTY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-26",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "HAYCOX",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "VP OF REVENUE OPERATIONS",
        "authorized_official_telephone_number": "870-403-9400"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "4675",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054.020009",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "HI",
            "license": "PMP1279",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "AR2157",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH29984",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "22-45089",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "PCN.0003097",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ID",
            "license": "41734MS",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AK",
            "license": "112770",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CO",
            "license": "OSP.0006831",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "64002098A",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHNR000959",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.007361-NR",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "DE",
            "license": "A9-0001928",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "DC",
            "license": "NRX1801311",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2135880",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allcare Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.