Individual provider Active NPI

Chad William Sledge

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Little Rock, AR
National Provider Identifier
1952490385
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
PD10124 Issued in AR
Practice address
14000 Cantrell Rd
Little Rock, AR 72223-1517
Phone
(501) 225-6006
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PD10124 AR Primary
Pharmacist 183500000X PD10124 AR

Addresses

Primary practice location

14000 Cantrell Rd
Little Rock, AR 72223-1517

Mailing address

2121 Wellington Plantation Dr
Little Rock, AR 72211-2152
Phone (501) 351-3167

Other practice location 1

4 S Poplar St
Marianna, AR 72360-2320
Phone (870) 295-3441

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

State licenses

LicenseStateTypeSpecialty
PD10124ARMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kroger Limited Partnership I PastSince Feb 23, 2020 Accepting new patients
Kroger Limited Partnership I PastSince Feb 23, 2020 Accepting new patients
Polk Pharmacy Inc Past Accepting new patients
Poke Pharmacy Inc Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1952490385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 WELLINGTON PLANTATION DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112152",
            "telephone_number": "501-351-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14000 CANTRELL RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722231517",
            "telephone_number": "501-225-6006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 S Poplar St",
            "address_purpose": "LOCATION",
            "city": "Marianna",
            "state": "AR",
            "postal_code": "723602320",
            "country_code": "US",
            "telephone_number": "870-295-3441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLEDGE",
        "first_name": "CHAD",
        "middle_name": "WILLIAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "AR",
            "license": "PD10124",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD10124",
            "primary": false
        }
    ],
    "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 Feb 19, 2020; 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.