NPIMap

Organization Active NPI

Community Care RX LLC

  • Long Term Care Pharmacy
  • Malvern, AR
National Provider Identifier
1609531797
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
COMMUNITY CARE RX LLC
Practice address
1606 Martin Luther King Blvd
Malvern, AR 72104-2006
Phone
(501) 229-1446
Fax
(501) 229-1397
NPI assigned
Nov 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Authorized official

Name
Shelyn Davis
Title
Pic
Phone
(501) 844-1785

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1606 Martin Luther King Blvd
Malvern, AR 72104-2006

Mailing address

1606 Martin Luther King Blvd
Malvern, AR 72104-2006
Phone (501) 229-1446

National Provider Directory

National Provider Directory
Tax ID family
Community Care RX LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1609531797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 MARTIN LUTHER KING BLVD",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721042006",
            "telephone_number": "501-229-1446",
            "fax_number": "501-229-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 MARTIN LUTHER KING BLVD",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721042006",
            "telephone_number": "501-229-1446",
            "fax_number": "501-229-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SHELYN",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "501-844-1785"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.