Active NPI
Arthur Glen-McNair Shaw
- Pharmacist
- Little Rock, AR
National Provider Identifier
1386407732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD16817
- Practice address
- 1601 Main St
Little Rock, AR 72206-1433 - Phone
- (501) 371-9229
- NPI assigned
- Jan 30, 2024
- Last updated
- Jan 30, 2024
- Sex
- Male
- 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 | PD16817 | AR | Primary |
Addresses
Primary practice location
1601 Main St
Little Rock, AR 72206-1433
Mailing address
1601 Main St
Little Rock, AR 72206-1433
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 |
|---|---|---|---|
| PD16817 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1601 Main St
Little Rock, AR 72206
Phone (501) 371-9129
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706572800000",
"number": "1386407732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 MAIN ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722061433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 MAIN ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722061433",
"telephone_number": "501-371-9229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "ARTHUR",
"middle_name": "GLEN-MCNAIR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-01-30",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD16817",
"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 Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.