Active NPI
City Pharmacy
- Pharmacy
- Little Rock, AR
National Provider Identifier
1841291150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 0412609
- Legal business name
- CITY PHARMACY
- Practice address
- 1801 Broadway St
Little Rock, AR 72206-1222 - Phone
- (501) 374-6565
- NPI assigned
- Aug 9, 2005
- 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. Andrew Harp, PHARM.D
- Title
- Owner
- Phone
- (501) 374-6565
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 0412609 | AR | Primary |
Addresses
Primary practice location
1801 Broadway St
Little Rock, AR 72206-1222
Mailing address
1801 Broadway St
Little Rock, AR 72206-1222
Phone (501) 374-6565
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100799407 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090916000139 | AR | Part B Supplier - Mass Immunization (Roster Biller Only) | 7517013592 | Practice locations: Little Rock, AR |
| O20100930039018 | AR | DME Supplier - Pharmacy | 7517013592 |
1 other NPI on this enrollment Practice locations: Little Rock, AR |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Durable Medical Equipment & Medical Supplies
- Little Rock, AR
- NPI 1669558722
O20100930039018
National Provider Directory
National Provider Directory- Tax ID family
- City Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Little Rock, AR
- NPI 1669032173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432598400000",
"number": "1841291150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 BROADWAY ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722061222",
"telephone_number": "501-374-6565",
"fax_number": "501-374-6231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 BROADWAY ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722061222",
"telephone_number": "501-374-6565"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-09",
"last_updated": "2015-05-26",
"status": "A",
"authorized_official_last_name": "HARP",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "501-374-6565",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARM.D"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "AR",
"license": "0412609",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100799407",
"state": "AR"
}
],
"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 May 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.