Organization Active NPI

Cabot Pharmacy Inc

  • Community/Retail Pharmacy
  • Cabot, AR
National Provider Identifier
1649585985
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
AR20632 Issued in AR
Legal business name
CABOT PHARMACY INC
Practice address
2006 S Pine St Ste F
Cabot, AR 72023-8179
Phone
(501) 941-4400
Fax
(501) 941-4430
NPI assigned
Aug 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Authorized official

Name
Dr. Ralph Andrew Blansett, P.D,
Title
Pharmacist/Owner
Phone
(501) 941-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X AR20632 AR Primary

Addresses

Primary practice location

2006 S Pine St Ste F
Cabot, AR 72023-8179

Mailing address

2006 S Pine St Ste F
Cabot, AR 72023-8179
Phone (501) 941-4400

Other identifiers 1

IdentifierTypeStateIssuer
183459407MedicaidAR

National Provider Directory

National Provider Directory

Locations

2006 S Pine St
Ste F
Cabot, AR 72023
Phone (501) 941-4400

NPI Registry JSON

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1649585985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 S PINE ST STE F",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720238179",
            "telephone_number": "501-941-4400",
            "fax_number": "501-941-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 S PINE ST STE F",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720238179",
            "telephone_number": "501-941-4400",
            "fax_number": "501-941-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CABOT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-11",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "BLANSETT",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "501-941-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "P.D,"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR20632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183459407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabot, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.