Ian B McQueen, PHARMD
Individual provider Active NPI Pharmacist · Little Rock Afb, AR
NPI 1649045246 · NPPES record last updated Dec 1, 2023
Key facts
- NPI
- 1649045246
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PD11712 (AR)
- Practice address
- 1090 Arnold Dr
Little Rock Afb, AR 72099-4933 - Phone
- (501) 987-8981
- NPI assigned
- Nov 24, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD11712 | AR | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD11712 | AR | Yes |
Addresses
Primary practice location
1090 Arnold Dr
Little Rock Afb, AR 72099-4933
Mailing address
1090 Arnold Dr
Little Rock Afb, AR 72099-4933
Phone (501) 987-8981
Other providers in Little Rock Afb, AR
- John D Mathews
- Courtney McCulley
- Shirley Ann McDaniel
- Tiffani McKee
- Skylar McMath
- Jenisha Rae Mermis
- Jena Elaine Miesner
- Katherine Milligan
- Brian Michael Miracle
- Svetlana Morrell
All providers in Little Rock Afb, AR · Pharmacist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.