NPIMap

Organization Active NPI

Pharmacy Operations, Inc

  • Community/Retail Pharmacy
  • Conway, AR
National Provider Identifier
1508054701
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PHARMACY OPERATIONS, INC
Practice address
2125 College Ave
Conway, AR 72034-6210
Phone
(501) 329-8111
Fax
(501) 450-7189
NPI assigned
Oct 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Amiee Keeven
Title
Program Management Coordinator
Phone
(314) 993-6000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X AR Primary

Addresses

Primary practice location

2125 College Ave
Conway, AR 72034-6210

Mailing address

1 Rider Trail Plaza Dr
Suite 300
Earth City, MO 63045-1313
Phone (314) 993-6000

Other identifiers 3

IdentifierTypeStateIssuer
166336407MedicaidAR
168212716MedicaidAR
0422775OtherARNCPDP #

Other names 1

  • Medicine Shoppe Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Medicine Shoppe24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

Locations

2125 College Ave
Conway, AR 72034
Phone (501) 327-8088

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": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1508054701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RIDER TRAIL PLAZA DR",
            "address_2": "SUITE 300",
            "city": "EARTH CITY",
            "state": "MO",
            "postal_code": "630451313",
            "telephone_number": "314-993-6000",
            "fax_number": "314-872-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 COLLEGE AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346210",
            "telephone_number": "501-329-8111",
            "fax_number": "501-450-7189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY OPERATIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "KEEVEN",
        "authorized_official_first_name": "AMIEE",
        "authorized_official_title_or_position": "PROGRAM MANAGEMENT COORDINATOR",
        "authorized_official_telephone_number": "314-993-6000"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166336407",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168212716",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "0422775",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 7, 2023; 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.