Jenna Caroline Bailey, PHARM. D
Individual provider Active NPI Pharmacist · Little Rock, AR
NPI 1821473612 · NPPES record last updated Jul 22, 2015
Key facts
- NPI
- 1821473612
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PD13285 (AR)
- Practice address
- 12700 Chenal Pkwy
Little Rock, AR 72211-3360 - Phone
- (501) 707-1996
- NPI assigned
- Jul 22, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD13285 | AR | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD13285 | AR | Yes |
Addresses
Primary practice location
12700 Chenal Pkwy
Little Rock, AR 72211-3360
Mailing address
403 Hickory Creek CT SE
Little Rock, AR 72212-2507
Phone (501) 259-9159
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.