Active NPI
Galen Wayne Perkins, R.PH.
- Pharmacist
- Little Rock, AR
National Provider Identifier
1457402349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11746
- Practice address
- 7612 Cantrell Rd
Little Rock, AR 72227-3320 - Phone
- (501) 258-4399
- Fax
- (501) 227-0714
- NPI assigned
- Jan 16, 2007
- Last updated
- Oct 7, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2000156307 | MO | |
| Pharmacist | 183500000X | 11746 | OK | Primary |
| Pharmacist | 183500000X | 34526 | TX | |
| Pharmacist | 183500000X | 1-14424 | KS | |
| Pharmacist | 183500000X | PD 10757 | AR |
Addresses
Primary practice location
7612 Cantrell Rd
Little Rock, AR 72227-3320
Mailing address
116 Oneida Way
Maumelle, AR 72113-5872
Phone (501) 258-4399
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 356180505 | Medicaid | MO |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD 10757 | AR | MD | Pharmacist |
| 1-14424 | KS | MD | Pharmacist |
| 2000156307 | MO | MD | Pharmacist |
| 34526 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NW Cantrell LLC | Past | Accepting new patients | |
| SC Pharmacy Group Opco LLC | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Community/Retail Pharmacy
- Little Rock, AR
- NPI 1457978157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444176000000",
"number": "1457402349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 ONEIDA WAY",
"city": "MAUMELLE",
"state": "AR",
"postal_code": "721135872",
"telephone_number": "501-258-4399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7612 CANTRELL RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722273320",
"telephone_number": "501-258-4399",
"fax_number": "501-227-0714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERKINS",
"first_name": "GALEN",
"middle_name": "WAYNE",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-16",
"last_updated": "2015-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2000156307",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "11746",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "34526",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-14424",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD 10757",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "356180505",
"state": "MO"
}
],
"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 Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.