Organization Active NPI

3BG, Inc.

Doing business as Amity Road Pharmacy

  • Long Term Care Pharmacy
  • Conway, AR
National Provider Identifier
1639857709
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
3BG, INC.
Doing business as
Amity Road Pharmacy
Practice address
810 Amity Rd Ste 101
Conway, AR 72032-6001
Phone
(501) 358-3863
Fax
(501) 358-3865
NPI assigned
Jul 10, 2023
Last updated
Jul 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Authorized official

Name
Jennifer Ashley Hyde, PHARMDNPI 1194160887
Title
Vice President
Phone
(501) 358-3863

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
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

810 Amity Rd Ste 101
Conway, AR 72032-6001

Mailing address

810 Amity Rd Ste 101
Conway, AR 72032-6001
Phone (501) 358-3863

Other names 1

  • Amity Road Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
3BG Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1639857709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 AMITY RD STE 101",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720326001",
            "telephone_number": "501-358-3863",
            "fax_number": "501-358-3865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 AMITY RD STE 101",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720326001",
            "telephone_number": "501-358-3863",
            "fax_number": "501-358-3865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3BG, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-09",
        "status": "A",
        "authorized_official_last_name": "HYDE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ASHLEY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "501-358-3863",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amity Road 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 Jul 10, 2023; 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.