Active NPI
Jenny Allison Wells, PHARMD
- Pharmacist
- Little Rock, AR
National Provider Identifier
1790124683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD12340
- Practice address
- 15400 Chenal Pkwy
Suite 100
Little Rock, AR 72211-2016 - Phone
- (501) 708-4320
- Fax
- (501) 708-4315
- NPI assigned
- Jun 24, 2013
- Last updated
- Mar 11, 2022
- Sex
- Female
- 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 | PD12340 | AR | Primary |
Addresses
Primary practice location
15400 Chenal Pkwy
Suite 100
Little Rock, AR 72211-2016
Mailing address
15400 Chenal Pkwy
Suite 100
Little Rock, AR 72211-2016
Phone (501) 708-4320
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD12340 | AR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646956800000",
"number": "1790124683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15400 CHENAL PKWY",
"address_2": "SUITE 100",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722112016",
"telephone_number": "501-708-4320",
"fax_number": "501-708-4315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15400 CHENAL PKWY",
"address_2": "SUITE 100",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722112016",
"telephone_number": "501-708-4320",
"fax_number": "501-708-4315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "JENNY",
"middle_name": "ALLISON",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-24",
"last_updated": "2022-03-11",
"certification_date": "2022-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD12340",
"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 Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.