Organization Active NPI

Dolores' Family Pharmacy, Inc

  • Pharmacist
  • Warren, AR
National Provider Identifier
1487641056
Registry record updated Aug 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0417801 Issued in AR
Legal business name
DOLORES' FAMILY PHARMACY, INC
Practice address
1008 E Church St
Warren, AR 71671-3509
Phone
(870) 226-9800
Fax
(870) 226-9834
NPI assigned
Sep 29, 2005
Last updated
Aug 31, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2017

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

Authorized official

Name
Mrs. Dolores L Jones, RPH
Title
Pharmacist
Phone
(870) 226-9800

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 183500000X 0417801 AR Primary
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

1008 E Church St
Warren, AR 71671-3509

Mailing address

1008 E Church St
Warren, AR 71671-3509
Phone (870) 226-9800

Other identifiers 2

IdentifierTypeStateIssuer
0417801OtherARPHARMACY LICENSE &NAE
123991407MedicaidAR

National Provider Directory

National Provider Directory

Locations

1008 E Church St
Warren, AR 71671
Phone (870) 226-9800

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504137600000",
    "number": "1487641056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 E CHURCH ST",
            "city": "WARREN",
            "state": "AR",
            "postal_code": "716713509",
            "telephone_number": "870-226-9800",
            "fax_number": "870-226-9834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 E CHURCH ST",
            "city": "WARREN",
            "state": "AR",
            "postal_code": "716713509",
            "telephone_number": "870-226-9800",
            "fax_number": "870-226-9834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOLORES' FAMILY PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2017-08-31",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DOLORES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "870-226-9800",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "0417801",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE &NAE",
            "identifier": "0417801",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123991407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2017; 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.