Organization Active NPI

Conway Regional Medical Center, Inc

Doing business as Conway Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Conway, AR
National Provider Identifier
1558038653
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Authorized official

Name
Joshua Roberts, PHARMDNPI 1477219590
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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2268435Conway Outpatient Pharmacy2180 Ada Ave, Suite 100, Conway, AR 72034Certificate of waiverSep 11, 2026

National Provider Directory

National Provider Directory
Tax ID family
Stanley and Turner Drug Co2 organizations share this tax ID, including this one
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.

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.

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

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.

Verify at the official NPI Registry.