Active NPI
James Abbott
- Pharmacist
- Conway, AR
National Provider Identifier
1962090852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD12335
- Practice address
- 2235 Dave Ward Dr Ste 108
Conway, AR 72034-7040 - Phone
- (501) 450-0000
- NPI assigned
- Jan 6, 2021
- Last updated
- Jan 6, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD12335 | AR | Primary |
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 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | conway@heartland-rx.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PD12335 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PPG Store 6 LLC | Past | Accepting new patients |
Interoperability endpoints
- conway@heartland-rx.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Conway, AR
- NPI 1013422179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609891200000",
"number": "1962090852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2235 DAVE WARD DR STE 108",
"city": "CONWAY",
"state": "AR",
"postal_code": "720347040",
"telephone_number": "501-450-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2235 DAVE WARD DR STE 108",
"city": "CONWAY",
"state": "AR",
"postal_code": "720347040",
"telephone_number": "501-450-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABBOTT",
"first_name": "JAMES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-06",
"last_updated": "2021-01-06",
"certification_date": "2021-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD12335",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "conway@heartland-rx.com",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "work",
"address_1": "2235 Dave Ward Dr Ste 108",
"city": "Conway",
"state": "AR",
"country_code": "US",
"postal_code": "720347040",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.