Individual provider Active NPI

Walter Lyn Fruchey, PHARMD

  • Pharmacist
  • Little Rock, AR
National Provider Identifier
1427325489
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PD07259 Issued in AR
Practice address
400 W Capitol Ave # 100B
Little Rock, AR 72201-3436
Phone
(501) 374-2207
Fax
(501) 374-2208
NPI assigned
Nov 18, 2011
Last updated
Nov 18, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PD07259 AR Primary

Addresses

Primary practice location

400 W Capitol Ave # 100B
Little Rock, AR 72201-3436

Mailing address

400 W Capitol Ave # 100B
Little Rock, AR 72201-3436
Phone (501) 374-2207

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PD07259ARMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Fruchey, Inc Current Accepting new patients
Fruchey, Inc Current Accepting new patients

Locations

400 W Capitol Ave
Ste 100B
Little Rock, AR 72201
Phone (501) 374-2207

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": "1321574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321574400000",
    "number": "1427325489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W CAPITOL AVE # 100B",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722013436",
            "telephone_number": "501-374-2207",
            "fax_number": "501-374-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W CAPITOL AVE # 100B",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722013436",
            "telephone_number": "501-374-2207",
            "fax_number": "501-374-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRUCHEY",
        "first_name": "WALTER",
        "middle_name": "LYN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-18",
        "last_updated": "2011-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD07259",
            "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 Nov 18, 2011; 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.