Active NPI
Red River Pharmacy of Little Rock
Doing business as Red River Infusion Pharmacy of Little Rock
- Home Infusion Agency
- Little Rock, AR
National Provider Identifier
1629525944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Agency
- Legal business name
- RED RIVER PHARMACY OF LITTLE ROCK
- Doing business as
- Red River Infusion Pharmacy of Little Rock
- Practice address
- 1515 S Bowman Rd Ste B
Little Rock, AR 72211-4227 - Phone
- (501) 907-8949
- Fax
- (870) 907-5453
- NPI assigned
- Sep 2, 2016
- 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
- Robin Brule
- Title
- Business Director
- Phone
- (903) 792-7435
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Agency | 251F00000X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | AR20687 | AR | |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | AR20687 | AR | |
| Pharmacy | 333600000X | AR20687 | AR | |
| Home Infusion Therapy Pharmacy | 3336H0001X |
Addresses
Primary practice location
1515 S Bowman Rd Ste B
Little Rock, AR 72211-4227
Mailing address
1550 Moores LN
Texarkana, TX 75503-4657
Phone (903) 792-7435
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 218342407 | Medicaid | AR | |
| 7625880001 | Other | AR | NSC |
| 2165955 | Other | PK |
Other names 1
- Red River Infusion Pharmacy of Little Rock
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Home infusion therapy
- Medicare-enrolled home infusion therapy supplier
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170907003791 | AR | DME Supplier - Pharmacy | 4082987367 | Practice locations: Little Rock, AR |
| O20210607001695 | AR | Part B Supplier - Home Infusion Therapy Supplier | 4082987367 | Practice locations: Little Rock, AR |
National Provider Directory
National Provider Directory- Tax ID family
- Red River Pharmacy of Little Rock
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Red River Infusion Pharmacy of Little Rock
- Customized Equipment (DME)
- Little Rock, AR
- NPI 1679129704
-
dba Red River Pharmacy of Little Rock
- Home Infusion Therapy Pharmacy
- Little Rock, AR
- NPI 1770179533
Locations
1515 S Bowman Rd
Ste B
Little Rock, AR 72211
Phone (501) 228-7171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746403200000",
"number": "1629525944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 MOORES LN",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755034657",
"telephone_number": "903-792-7435",
"fax_number": "903-793-0485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 S BOWMAN RD STE B",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722114227",
"telephone_number": "501-907-8949",
"fax_number": "870-907-5453"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RED RIVER PHARMACY OF LITTLE ROCK",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-02",
"last_updated": "2025-05-05",
"certification_date": "2025-05-05",
"status": "A",
"authorized_official_last_name": "BRULE",
"authorized_official_first_name": "ROBIN",
"authorized_official_title_or_position": "BUSINESS DIRECTOR",
"authorized_official_telephone_number": "903-792-7435"
},
"taxonomies": [
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "AR",
"license": "AR20687",
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "AR",
"license": "AR20687",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "AR",
"license": "AR20687",
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "218342407",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NSC",
"identifier": "7625880001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2165955",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Red River Infusion Pharmacy of Little Rock",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Red River Infusion Pharmacy of Little Rock",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Little Rock, AR
- Recovery Centers of Arkansas, Inc.
- Recovery Centers of Arkansas, Inc.
- Recovery Resources LLC
- Nancy F Rector, MD
- Red River Pharmacy Long Term Care, LLC (Red River LTC of Little Rock)
- Red River Pharmacy of Little Rock (Red River Infusion Pharmacy of Little Rock)
- Red River Pharmacy of Little Rock LLC (Red River Pharmacy of Little Rock)
- Megan L Redam, APN
- Toni Conville Reddell
- Allen H Redding, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.