NPIMap

Organization Active NPI

Red River Pharmacy of Little Rock

Doing business as Red River Infusion Pharmacy of Little Rock

  • Customized Equipment (DME)
  • Little Rock, AR
National Provider Identifier
1679129704
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
RED RIVER PHARMACY OF LITTLE ROCK
Doing business as
Red River Infusion Pharmacy of Little Rock
Practice address
1515 S Bowman Rd Ste B
Little Rock, AR 72211-4227
Phone
(501) 907-8949
Fax
(501) 907-6505
NPI assigned
Aug 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Authorized official

Name
Robin Brule
Title
Business Director
Phone
(903) 792-7435

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X

Addresses

Primary practice location

1515 S Bowman Rd Ste B
Little Rock, AR 72211-4227

Mailing address

1550 Moores LN
Texarkana, TX 75503-4657
Phone (501) 907-8949

Other names 1

  • Red River Infusion Pharmacy of Little Rock Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Red River Pharmacy of Little Rock3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1679129704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 MOORES LN",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034657",
            "telephone_number": "501-907-8949",
            "fax_number": "501-907-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S BOWMAN RD STE B",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114227",
            "telephone_number": "501-907-8949",
            "fax_number": "501-907-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED RIVER PHARMACY OF LITTLE ROCK",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-14",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "BRULE",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "BUSINESS DIRECTOR",
        "authorized_official_telephone_number": "903-792-7435"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red River Infusion Pharmacy of Little Rock",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Red River Infusion Pharmacy of Little Rock",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 11, 2023; 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.