Individual provider Active NPI

Steven Douglas Nash, RPH

  • Pharmacist
  • Rogers, AR
National Provider Identifier
1760039655
Registry record updated Aug 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
006725 Issued in AR
Practice address
2404 S Promenade Blvd
Rogers, AR 72758-9080
Phone
(479) 986-1101
Fax
(479) 986-1111
NPI assigned
Aug 24, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 006725 AR Primary

Addresses

Primary practice location

2404 S Promenade Blvd
Rogers, AR 72758-9080

Mailing address

1223 S Springfield Dr
Fayetteville, AR 72704-7123
Phone (479) 236-5977

Other practice location 1

3545 N Shiloh Dr
Fayetteville, AR 72703-5359
Phone (479) 443-5628

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
006725ARMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1566604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566604800000",
    "number": "1760039655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 S SPRINGFIELD DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727047123",
            "telephone_number": "479-236-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 S PROMENADE BLVD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727589080",
            "telephone_number": "479-986-1101",
            "fax_number": "479-986-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3545 N Shiloh Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727035359",
            "country_code": "US",
            "telephone_number": "479-443-5628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASH",
        "first_name": "STEVEN",
        "middle_name": "DOUGLAS",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-24",
        "last_updated": "2019-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "006725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2019; 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.