Active NPI
Conway Apothecary Inc.
Doing business as Conway Apothecary
- Long Term Care Pharmacy
- Conway, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- CONWAY APOTHECARY INC.
- Doing business as
- Conway Apothecary
- Practice address
- 2125 College Ave Ste 1
Conway, AR 72034-6387 - Phone
- (501) 327-8088
- NPI assigned
- Jul 19, 2023
- Last updated
- Aug 10, 2023
- 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
- Clayton Dickerson, PHARMD
- Title
- Owner
- Phone
- (870) 540-7955
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | NU | Primary |
Addresses
Primary practice location
2125 College Ave Ste 1
Conway, AR 72034-6387
Mailing address
2225 Eldridge LN
Conway, AR 72032-5018
Phone (870) 540-7955
Other names 1
- Conway Apothecary
National Provider Directory
National Provider Directory- Tax ID family
- Conway Apothecary
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Danville, AR
- NPI 1568196970
-
- Pharmacist
- Conway, AR
- NPI 1043819923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691625600000",
"number": "1982384566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2225 ELDRIDGE LN",
"city": "CONWAY",
"state": "AR",
"postal_code": "720325018",
"telephone_number": "870-540-7955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2125 COLLEGE AVE STE 1",
"city": "CONWAY",
"state": "AR",
"postal_code": "720346387",
"telephone_number": "501-327-8088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONWAY APOTHECARY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-19",
"last_updated": "2023-08-10",
"certification_date": "2023-08-10",
"status": "A",
"authorized_official_last_name": "DICKERSON",
"authorized_official_first_name": "CLAYTON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "870-540-7955",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Conway Apothecary",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Conway, AR
- Amberly Connors
- Continue Counseling LLC
- Conway Ambulatory Surgery Center, LLC
- Conway Anesthesiology Consultants, P.a.
- Conway Apothecary Inc. (Conway Apothecary)
- Conway Behavioral Health, LLC (Conway Behavioral Health)
- Conway Behavioral Health, LLC (Conway Behavioral Health)
- Conway Cardiovascular Surgery Center, LLC
- Conway Childrens Clinic PA Corp
- Conway Chiropractic & Wellness Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.