PARK WEST PHARMACY


Address: 904 Autumn Rd, Suite 275, Little Rock, AR 72211-3702
Phone: 5012243499

PARK WEST PHARMACY (NPI# 1053308940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053308940
Entity Type Organization
Organization Name PARK WEST PHARMACY
Practice Address 904 Autumn Rd
Suite 275
Little Rock
AR 72211-3702
Practice Telephone 5012243499
Practice Fax Number 5012241140
Mailing Telephone 5012243499
Mailing Fax Number 5012241140
Enumeration Date 2005-10-05
Last Update Date 2012-09-12
Authorized Official Name DR. BILL BLOODWORTH (PHARMACY OWNER)
Authorized Official Telephone 5012243499
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 333600000X Pharmacy 69175 AR Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
AR 100701407 05

Office Location

Street Address 904 AUTUMN RD
SUITE 275
City LITTLE ROCK
State AR
Zip Code 72211-3702

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578956223 Emily Ann Fry Nurse Practitioner 904 Autumn Rd, Suite 200, Little Rock, AR 72211-3702 2015-03-05
1497046015 John Philip Pounders Jr. Family Medicine 904 Autumn Rd, Suite 200, Little Rock, AR 72211-3702 2011-04-30
1851532071 All for Kids Pediatric Clinic, P.a. Pediatrics 904 Autumn Rd, Suite 100, Little Rock, AR 72211-3702 2009-03-18
1629027818 Autumn Road Family Practice, P.a Clinic/Center 904 Autumn Rd, Suite 200, Little Rock, AR 72211-3737 2006-05-08
1457318065 Alison Richardson Family Medicine 904 Autumn Rd, Suite 200, Little Rock, AR 72211 2006-04-27
1871557157 Dawn Martin Pediatrics 904 Autumn Rd, Suite100, Little Rock, AR 72211-3742 2006-04-14
1194789685 Jerry Douglas Byrum Pediatrics 904 Autumn Rd, Suite 100, Little Rock, AR 72211-3742 2006-04-13
1518921006 Kimberly Skelley Pediatrics 904 Autumn Rd, Suite 100, Little Rock, AR 72211-3737 2006-04-13
1235192980 Arkansas Health Group Preferred Provider Organization 904 Autumn Rd, Suite 100, Little Rock, AR 72211-3737 2006-04-11
1326001090 Thomas Paulus Pediatrics 904 Autumn Rd, Suite 100, Little Rock, AR 72211-3737 2006-04-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760004618 Samantha Lenore Hilborn Behavior Technician 1525 Merrill Drive Suite 100, Little Rock, AR 72211 2020-05-14
1003437740 Centers for Youth and Families, Inc. Community/Behavioral Health 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 2020-05-05
1962040568 Erica N Taylor Nurse Practitioner 11800 Financial Center Parkway, Ste 290, Little Rock, AR 72211 2019-12-13
1568932119 Katie Jones Nurse Practitioner 1children's Way, Little Rock, AR 72211 2018-11-27
1356828651 Kayleigh King Dietitian, Registered 4 Shackleford Plz Ste 209, Little Rock, AR 72211 2018-07-19
1699283838 Kara Elizabeth Simmons Physician Assistant 11215 Hermitage Rd Ste 103, Little Rock, AR 72211 2018-01-22
1194241463 Wendy Newsam Pllc Counselor 1 Innwood Circle, Suite 107, Little Rock, AR 72211 2017-08-18
1861915159 Sarah Renee Beall Counselor 10800 Financial Centre #290, Little Rock, AR 72211 2017-07-19
1457873127 Restore Hope Counseling Center, Pllc Counselor One Innwood Circle, Suite 201, Little Rock, AR 72211 2017-07-13
1447707500 University of Arkansas for Medical Sciences Durable Medical Equipment & Medical Supplies 601 Autumn Road, Little Rock, AR 72211 2016-09-07
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Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023535655 Genoa Healthcare, LLC Pharmacy 10025 W Markham St Ste 135, Little Rock, AR 72205-1408 2017-08-24
1669835484 Ppg Store 3, LLC Pharmacy 11414 W Markham Street, Little Rock, AR 72703 2016-03-30
1235475427 Remedy Drug, Inc Pharmacy 8511 W Markham St, Little Rock, AR 72205-2432 2012-12-17
1669759650 Coram Alternate Site Services, Inc. Pharmacy 12120 Colonel Glenn Rd Ste 8000, Little Rock, AR 72210-2847 2011-11-04
1538202619 Little Rock Community Mental Health Center Inc Pharmacy 1100 N University Ave Ste 240, Little Rock, AR 72207-6358 2007-02-15
1083774210 Kroger Limited Partnership I Pharmacy 1900 N Polk St, Little Rock, AR 72207-4634 2006-12-11
1275616682 Super D Drug Acquisition Co. Pharmacy 4010 W 12th St, Little Rock, AR 72204-2047 2006-10-23
1255449831 Fruchey, Inc Pharmacy 400 W Capitol Ave # 101a, Regions Center, Little Rock, AR 72201-3436 2006-08-25
1396750998 Rx Moose Inc Pharmacy 6815 Cantrell Rd, Little Rock, AR 72207-4134 2006-07-30
1194740894 Kroger Limited Partnership I Pharmacy 614 Beechwood St, Little Rock, AR 72205-3847 2006-07-13
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Competitor

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City LITTLE ROCK
Zip Code 72211

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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