Psi Arkansas Acquisition, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

PSI ARKANSAS ACQUISITION, LLC

Doing business as

Pharmacy Solutions

Practice address

2125 College Ave
Suite 2
Conway, AR 72034-6210

Phone

(501) 764-1414

NPI assigned

Feb 9, 2007

Last updated

Feb 15, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angela James

Title

Regulatory Licensing Mangager

Phone

(513) 719-2600

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Pharmacy Solutions Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1477694594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E 4TH ST",
            "address_2": "900 OMNICARE CENTER",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452024248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 COLLEGE AVE",
            "address_2": "SUITE 2",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346210",
            "telephone_number": "501-764-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSI ARKANSAS ACQUISITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "REGULATORY LICENSING MANGAGER",
        "authorized_official_telephone_number": "513-719-2600"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165041407",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0421278",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmacy Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Promed Preferred TN 3 PLLC
• Avery Leeann Proud
• Providence Family Medicine Clinic Inc
• Ashley Jane Pruitt, RN
• Jennifer Elizabeth Pryor, L.C.S.W
• Kristen Pucik, LMSW
• Pamela Puckett, PHARMD
• Jose Pulido
• Samantha Pulley, LPC
• William Kyle Purcell, LPC

• Long Term Care Pharmacy in Conway, AR
• Providers in Conway, AR by specialty
• Long Term Care Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.