Active NPI
Kara Charles Shipp, PD
- Pharmacist
- Conway, AR
National Provider Identifier
1669875035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD07415
- Practice address
- 2125 College Ave
Conway, AR 72034-6210 - Phone
- (501) 327-8088
- NPI assigned
- Sep 30, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD07415 | AR | Primary |
Addresses
Primary practice location
2125 College Ave
Conway, AR 72034-6210
Mailing address
4685 Sawgrass CV
Conway, AR 72034-5007
Phone (501) 327-8088
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD07415 | AR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412035200000",
"number": "1669875035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4685 SAWGRASS CV",
"city": "CONWAY",
"state": "AR",
"postal_code": "720345007",
"telephone_number": "501-327-8088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2125 COLLEGE AVE",
"city": "CONWAY",
"state": "AR",
"postal_code": "720346210",
"telephone_number": "501-327-8088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIPP",
"first_name": "KARA",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "PD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-09-30",
"last_updated": "2014-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD07415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Sep 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.