Active NPI
Monica E Prince
- Pharmacist
- Newport, AR
National Provider Identifier
1730864828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD13733
- Practice address
- 1117 McLain St Ste 400
Newport, AR 72112-3545 - Phone
- (870) 523-5555
- Fax
- (870) 523-6337
- NPI assigned
- Jun 16, 2023
- Last updated
- Jun 16, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PD13733 | AR | |
| Pharmacist | 183500000X | PD13733 | AR | Primary |
| Long Term Care Pharmacy | 3336L0003X | PD13733 | AR |
Addresses
Primary practice location
1117 McLain St Ste 400
Newport, AR 72112-3545
Mailing address
3629 Highway 17 S
Newport, AR 72112-9224
Phone (870) 217-9569
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 |
|---|---|---|---|
| PD13733 | AR | MD | Long Term Care Pharmacy |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RX Hound Inc | Long Term Care Pharmacy | Past | Accepting new patients |
| RX Hound Inc | Community/Retail Pharmacy | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686873600000",
"number": "1730864828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3629 HIGHWAY 17 S",
"city": "NEWPORT",
"state": "AR",
"postal_code": "721129224",
"telephone_number": "870-217-9569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1117 MCLAIN ST STE 400",
"city": "NEWPORT",
"state": "AR",
"postal_code": "721123545",
"telephone_number": "870-523-5555",
"fax_number": "870-523-6337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINCE",
"first_name": "MONICA",
"middle_name": "E",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-16",
"last_updated": "2023-06-16",
"certification_date": "2023-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "AR",
"license": "PD13733",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD13733",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "AR",
"license": "PD13733",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.