James Abbott
Individual provider Active NPI Pharmacist · Conway, AR
NPI 1962090852 · NPPES record last updated Jan 6, 2021
Key facts
- NPI
- 1962090852
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PD12335 (AR)
- Practice address
- 2235 Dave Ward Dr Ste 108
Conway, AR 72034-7040 - Phone
- (501) 450-0000
- NPI assigned
- Jan 6, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD12335 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PPG Store 6 LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD12335 | AR | Yes |
Addresses
Primary practice location
2235 Dave Ward Dr Ste 108
Conway, AR 72034-7040
Mailing address
2235 Dave Ward Dr Ste 108
Conway, AR 72034-7040
Phone (501) 450-0000
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | conway@heartland-rx.com | Direct |
Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2021. 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.