Organization Active NPI

Systemedic

  • Preferred Provider Organization
  • Little Rock, AR
National Provider Identifier
1659718419
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
SYSTEMEDIC
Practice address
10809 Executive Center Dr Ste 105
Little Rock, AR 72211-6020
Phone
(501) 227-5553
Fax
(501) 227-8362
NPI assigned
Jun 3, 2013
Last updated
Jun 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2013

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

Authorized official

Name
Mr. Howard Bennett
Title
President
Phone
(501) 227-5553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X NU Primary

Addresses

Primary practice location

10809 Executive Center Dr Ste 105
Little Rock, AR 72211-6020

Mailing address

10809 Executive Center Dr Ste 105
Little Rock, AR 72211-6020
Phone (501) 227-5553

National Provider Directory

National Provider Directory

Locations

10809 Executive Center Dr
Ste 105
Little Rock, AR 72211
Phone (501) 227-5553

NPI Registry JSON

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1659718419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10809 EXECUTIVE CENTER DR STE 105",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722116020",
            "telephone_number": "501-227-5553",
            "fax_number": "501-227-8362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10809 EXECUTIVE CENTER DR STE 105",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722116020",
            "telephone_number": "501-227-5553",
            "fax_number": "501-227-8362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYSTEMEDIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-227-5553",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.