City Pharmacy

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CITY PHARMACY

Practice address

1801 Broadway St
Little Rock, AR 72206-1222

Phone

(501) 374-6565

Fax

(501) 374-6231

NPI assigned

Oct 31, 2006

Last updated

Jun 17, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

CITY PHARMACYAs reported in NPPES

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

Authorized official

Name

Andrew Harp, RPHNPI 1528477866

Title

Owner

Phone

(501) 374-6565

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• City Pharmacy

  • Pharmacy
  • Little Rock, AR
  • NPI 1841291150

  O20100930039018

  Same enrollment

Part of

City Home Health Care

Practitioners 1

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.

• Andrew Harp, PHARM D

  • Pharmacist
  • Little Rock, AR
  • NPI 1528477866
  Authorized official Same address or phone

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1669558722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 BROADWAY ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722061222",
            "telephone_number": "501-374-6565",
            "fax_number": "501-374-6231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 BROADWAY ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722061222",
            "telephone_number": "501-374-6565",
            "fax_number": "501-374-6231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY PHARMACY",
        "enumeration_date": "2006-10-31",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "HARP",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-374-6565",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119843716",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Divyaswathi Citla Sridhar, MD
• Kizzie Citty, OTD, OTR/L
• City of Fire Community Development Inc (Covenant Keepers College Preparation School)
• City of Fire Community Development, Inc. (Covenant Keepers College Preparatory Charter School)
• City Pharmacy
• City Pharmacy
• City Ride LLC
• CJN Pharmacy Services LLC (Bowman Curve Pharmacy)
• Toni Tanee Clardy-Witt, MHPP LRSB
• James Clardy, MD

• Durable Medical Equipment & Medical Supplies in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Durable Medical Equipment & Medical Supplies in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.

Verify at the official NPI Registry.