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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 333600000X | Pharmacy | 69175 | AR | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 100701407 | 05 |
Street Address |
904 AUTUMN RD SUITE 275 |
City | LITTLE ROCK |
State | AR |
Zip Code | 72211-3702 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 72211 |
Taxonomy Code | 333600000X |
Grouping | Suppliers |
Classification | Pharmacy |
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] |
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 |
Find all providers in LITTLE ROCK |
City | LITTLE ROCK |
Zip Code | 72211 |
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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.