Active NPI
Conway Regional Medical Center, Inc
Doing business as Conway Outpatient Pharmacy
- Community/Retail Pharmacy
- Conway, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- CONWAY REGIONAL MEDICAL CENTER, INC
- Doing business as
- Conway Outpatient Pharmacy
- Practice address
- 2180 Ada Ave Ste 100
Conway, AR 72034-4916 - Phone
- (501) 255-3500
- Fax
- (501) 255-3434
- NPI assigned
- Aug 26, 2021
- Last updated
- Sep 29, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joshua Roberts, PHARMD
- Title
- Pharmacy Director
- Phone
- (501) 513-5703
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
2180 Ada Ave Ste 100
Conway, AR 72034-4916
Mailing address
2180 Ada Ave Ste 100
Conway, AR 72034-4014
Other names 1
- Conway Outpatient Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131205000075 | AR | Part B Supplier - Mass Immunization (Roster Biller Only) | 8426285016 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Conway, AR; Searcy, AR |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Stanley Pharmacy Compounding Center
- Community/Retail Pharmacy
- Searcy, AR
- NPI 1972895670
O20131205000075
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D2268435 | Conway Outpatient Pharmacy | Certificate of waiver | Sep 11, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Stanley and Turner Drug Co
- Part of
- Stanley and Turner Drug Co
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Stanley Pharmacy Compounding Center
- Community/Retail Pharmacy
- Searcy, AR
- NPI 1972895670
Locations
2180 Ada Ave
Ste 100
Conway, AR 72034
Phone (501) 255-3500
2413 W Beebe Capps Expy
Searcy, AR 72143
Phone (501) 305-4108
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Conway, AR
- NPI 1477219590
-
- Pharmacist
- Conway, AR
- NPI 1528470176
-
- Pharmacist
- Searcy, AR
- NPI 1881770402
-
- Pharmacist
- Searcy, AR
- NPI 1720684384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790640000000",
"number": "1558038653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2180 ADA AVE STE 100",
"city": "CONWAY",
"state": "AR",
"postal_code": "720344014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2180 ADA AVE STE 100",
"city": "CONWAY",
"state": "AR",
"postal_code": "720344916",
"telephone_number": "501-255-3500",
"fax_number": "501-255-3434"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONWAY REGIONAL MEDICAL CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-26",
"last_updated": "2026-09-29",
"certification_date": "2026-09-29",
"status": "A",
"authorized_official_last_name": "ROBERTS",
"authorized_official_first_name": "JOSHUA",
"authorized_official_title_or_position": "PHARMACY DIRECTOR",
"authorized_official_telephone_number": "501-513-5703",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Conway Outpatient Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Conway Outpatient Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Conway, AR
- Conway Regional Medical Center Inc (Conway Regional Surgical Associates)
- Conway Regional Medical Center Inc. (Conway Orthopedic and Sports Medicine Center)
- Conway Regional Medical Center, Inc (Conway Regional Multispecialty Clinic)
- Conway Regional Medical Center, Inc (Conway Regional Interfaith Dental Clinic)
- Conway Regional Medical Center, Inc (Conway Regional Gastroenterology Center)
- Conway Regional Medical Center, Inc (Cardiovascular and Thoracic Surgery of Conway)
- Conway Regional Medical Center, Inc (Conway Regional Hendrix Medical Clinic)
- Conway Regional Medical Center, Inc (Conway Regional Counseling Center)
- Conway Regional Medical Center, Inc (Conway Regional After Hours Clinic)
- Conway Regional Medical Center, Inc (Conway Regional Advanced Pain Management Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.