Kopong T Limson, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PD12004 Issued in AR

Practice address

4206 W New Hope Rd
Rogers, AR 72758-8258

Phone

(479) 621-0958

NPI assigned

Nov 5, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kopong Limpichareon Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Walgreen Co

  • Pharmacy
  • Rogers, AR
  • NPI 1639302730
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1558026369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 SW MALLET RD APT 304",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727138219",
            "telephone_number": "773-988-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4206 W NEW HOPE RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588258",
            "telephone_number": "479-621-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIMSON",
        "first_name": "KOPONG",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-05",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD12004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "4206 W New Hope Rd",
            "city": "Rogers",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727588258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KOPONG",
            "last_name": "LIMPICHAREON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Twyla Licatino
• Life Strategies Counseling, Inc.
• Life Strategies Counseling, Inc.
• Tiffany Leann Lillard, MS, PT
• Savannah Lilly, OTD, OTR/L
• Kristen Renee Litchford, RD, LD
• Little Birdie Professional Counseling PLLC
• John Little
• Melissa Little
• Joseph Daniel Lockwood, MD

• Pharmacist in Rogers, AR
• Providers in Rogers, AR by specialty
• Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.