Active NPI
Colby Cormell
- Pharmacist
- Conway, AR
National Provider Identifier
1467377127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD17789
- Practice address
- 2235 Dave Ward Dr Ste 108
Conway, AR 72034-7040 - Phone
- (501) 450-0000
- Fax
- (501) 450-6433
- NPI assigned
- Aug 12, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD17789 | AR | Primary |
Addresses
Primary practice location
2235 Dave Ward Dr Ste 108
Conway, AR 72034-7040
Mailing address
3290A Lillian CV
Conway, AR 72034-7290
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PPG Store 6 LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Conway, AR
- NPI 1013422179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1467377127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3290A LILLIAN CV",
"city": "CONWAY",
"state": "AR",
"postal_code": "720347290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2235 DAVE WARD DR STE 108",
"city": "CONWAY",
"state": "AR",
"postal_code": "720347040",
"telephone_number": "501-450-0000",
"fax_number": "501-450-6433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORMELL",
"first_name": "COLBY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-12",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD17789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.