Individual provider Active NPI

James Andrew Dallas, PHARMD

  • Pharmacist
  • Conway, AR
National Provider Identifier
1992980197
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PD09859 Issued in AR
Practice address
924 Front St
Conway, AR 72032-4304
Phone
(501) 329-5626
Fax
(501) 329-1977
NPI assigned
Jan 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PD09859 AR Primary

Addresses

Primary practice location

924 Front St
Conway, AR 72032-4304

Mailing address

924 Front St
Conway, AR 72032-4304
Phone (501) 329-5626

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PD09859ARMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Baker Drug Company Current Accepting new patients
DLSN LLC Current Accepting new patients
DLSN LLC Current Accepting new patients
RX Moose Inc PastSince Jan 28, 2024 Accepting new patients
RX Moose Inc Past Accepting new patients

Locations

924 Front St
Conway, AR 72032
Phone (501) 329-5626

Organizations & group practices 5

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": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1992980197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 FRONT ST",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720324304",
            "telephone_number": "501-329-5626",
            "fax_number": "501-329-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 FRONT ST",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720324304",
            "telephone_number": "501-329-5626",
            "fax_number": "501-329-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLAS",
        "first_name": "JAMES",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-07",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD09859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Sep 26, 2019; 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.