Active NPI
Cobbs Westside Pharmacy Inc
- Long Term Care Pharmacy
- Russellville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- COBBS WESTSIDE PHARMACY INC
- Practice address
- 108 Skyline Dr Ste B
Russellville, AR 72801-3306 - Phone
- (479) 968-7180
- Fax
- (479) 967-0884
- NPI assigned
- May 25, 2023
- Last updated
- May 25, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William John Cobb, PHARMD
- Title
- President/Pharmacist
- Phone
- (479) 968-7180
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | NU | Primary |
Addresses
Primary practice location
108 Skyline Dr Ste B
Russellville, AR 72801-3306
Mailing address
108 Skyline Dr Ste B
Russellville, AR 72801-3306
Phone (479) 968-7180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160234407 | Medicaid | AR |
National Provider Directory
National Provider Directory- Tax ID family
- Cobbs Westside Pharmacy Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Russellville, AR
- NPI 1457309148
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Russellville, AR
- NPI 1356975890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684972800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684972800000",
"number": "1811689938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 SKYLINE DR STE B",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728013306",
"telephone_number": "479-968-7180",
"fax_number": "479-967-0884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 SKYLINE DR STE B",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728013306",
"telephone_number": "479-968-7180",
"fax_number": "479-967-0884"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COBBS WESTSIDE PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-25",
"last_updated": "2023-05-25",
"certification_date": "2023-05-17",
"status": "A",
"authorized_official_last_name": "COBB",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT/PHARMACIST",
"authorized_official_telephone_number": "479-968-7180",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "160234407",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Russellville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.