NPIMap

Organization Active NPI

Greenwood Pharmacy Long-Term Care

  • Long Term Care Pharmacy
  • Greenwood, AR
National Provider Identifier
1467213629
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
GREENWOOD PHARMACY LONG-TERM CARE
Practice address
560 W Center St
Greenwood, AR 72936-4724
Phone
(479) 996-2000
Fax
(479) 597-5869
NPI assigned
Jan 16, 2024
Organization subpart
Yes
Parent organization
GREENWOOD PHARMACY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Authorized official

Name
Dr. Dylan Justice Jones, PHARMD.
Title
Owner / Pharmacist
Phone
(479) 856-1699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

560 W Center St
Greenwood, AR 72936-4724

Mailing address

560 W Center St
Greenwood, AR 72936-4724
Phone (479) 996-2000

National Provider Directory

National Provider Directory
Tax ID family
Greenwood Pharmacy Long-Term Care2 organizations share this tax ID, including this one
Part of
Greenwood Pharmacy Long-Term Care

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1705363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1467213629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 W CENTER ST",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "729364724",
            "telephone_number": "479-996-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 W CENTER ST",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "729364724",
            "telephone_number": "479-996-2000",
            "fax_number": "479-597-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD PHARMACY LONG-TERM CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREENWOOD PHARMACY LLC",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DYLAN",
        "authorized_official_middle_name": "JUSTICE",
        "authorized_official_title_or_position": "OWNER / PHARMACIST",
        "authorized_official_telephone_number": "479-856-1699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.

Verify at the official NPI Registry.