Active NPI
Bantu Amare
- Pharmacist
- Little Rock, AR
National Provider Identifier
1679453211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD10137
- Practice address
- 10816 Executive Center Dr Ste 301
Little Rock, AR 72211-4383 - Phone
- (501) 817-6034
- NPI assigned
- Sep 4, 2025
- Last updated
- Sep 4, 2025
- Sex
- Male
- Sole proprietor
- No
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 | PD10137 | AR | Primary |
Addresses
Primary practice location
10816 Executive Center Dr Ste 301
Little Rock, AR 72211-4383
Mailing address
10816 Executive Center Dr Ste 301
Little Rock, AR 72211-4383
Phone (501) 817-6034
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 |
|---|---|---|---|
| PD10137 | AR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756944000000",
"number": "1679453211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10816 EXECUTIVE CENTER DR STE 301",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722114383",
"telephone_number": "501-817-6034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10816 EXECUTIVE CENTER DR STE 301",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722114383",
"telephone_number": "501-817-6034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMARE",
"first_name": "BANTU",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-09-04",
"last_updated": "2025-09-04",
"certification_date": "2025-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD10137",
"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 Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.