RED RIVER PHARMACY OF LITTLE ROCK (NPI# 1629525944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629525944 |
| Entity Type | Organization |
| Organization Name | RED RIVER PHARMACY OF LITTLE ROCK |
| Other Organization Name | RED RIVER PHARMACY OF LITTLE ROCK |
| Practice Address |
1200 Business Park Dr Ste 1 Little Rock AR 72204-2698 |
| Mailing Address |
1550 Moores Ln Texarkana TX 75503-4657 |
| Practice Telephone | 5019078949 |
| Practice Fax Number | 8709075453 |
| Mailing Telephone | 9037927435 |
| Mailing Fax Number | 9037930485 |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2020-10-30 |
| Authorized Official Name | ROBIN BRULE (BUSINESS DIRECTOR) |
| Authorized Official Telephone | 9037927435 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | AR20687 | AR | Suppliers |
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
AR20687 | AR | Suppliers |
| N | 333600000X | Pharmacy | AR20687 | AR | Suppliers |
| N | 3336N0007X |
Pharmacy Specialization: Nuclear Pharmacy |
Suppliers | ||
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 218342407 | 05 | |
| AR | NSC | 7625880001 | 01 |
| PK | 2165955 | 01 |
| Other Name | Type Code |
|---|---|
| Red River Pharmacy of Little Rock | Doing Business As Name - Organization |
| Red River Vital Care of Little Rock | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679129704 | Red River Pharmacy of Little Rock | Durable Medical Equipment & Medical Supplies | 1200 Business Park Dr Ste 1, Little Rock, AR 72204-2698 | 2019-08-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | RED RIVER PHARMACY OF LITTLE ROCK, LLC | 1200 Business Park Dr Ste 1, Little Rock, AR 72204-2698 |
| Street Address |
1200 BUSINESS PARK DR STE 1 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72204-2698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679129704 | Red River Pharmacy of Little Rock | Durable Medical Equipment & Medical Supplies | 1200 Business Park Dr Ste 1, Little Rock, AR 72204-2698 | 2019-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669952966 | Shane Wilson | Non-emergency Medical Transport (VAN) | 1522 S Tyler St, Little Rock, AR 72204 | 2018-08-16 |
| 1659858348 | Poplar Grove Operations LLC | Skilled Nursing Facility | 7801 Kanis Road, Little Rock, AR 72204 | 2018-07-25 |
| 1275056004 | University of Arkansas for Medical Sciences | Orthopaedic Surgery | 108015 Colonel Glenn Rd, Little Rock, AR 72204 | 2017-07-24 |
| 1265954820 | Marilyn Marie Lynch | Registered Nurse | 7723 Colonel Glenn Road, Little Rock, AR 72204 | 2017-07-14 |
| 1962852954 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1122 S. University Ave, Little Rock, AR 72204 | 2016-06-21 |
| 1841607751 | Charity Gillespie | Registered Nurse | 5210 Timberland Dr, Little Rock, AR 72204 | 2014-07-14 |
| 1043625221 | Interventional Surgery Institute of Little Rock, LLC | Clinic/Center | 9 Freeway Drive, Suite A, Little Rock, AR 72204 | 2014-06-25 |
| 1548696065 | Jamie Washington | Prosthetic/Orthotic Supplier | 4701 Westwood Ave, Little Rock, AR 72204 | 2013-09-16 |
| 1124468913 | Stephanie Rachelle Jez | Genetic Counselor, MS | 5800 West 10th Street, Freeway Medical Building, Suite 7-500, Little Rock, AR 72204 | 2013-06-26 |
| 1336492321 | Alton Charles Phillips Sr. | Counselor | 4400shuffield Drive, Little Rock, AR 72204 | 2012-10-16 |
| Find all providers in zip 72204 | ||||
| Taxonomy Code | 3336H0001X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Home Infusion Therapy Pharmacy |
| Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. |
| Notes: Source: National Home Infusion Association [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538591979 | Chi National Home Care | Pharmacy | 10303 Colonel Glenn Rd, Suite 1f, Little Rock, AR 72204-8146 | 2013-08-08 |
| 1568678613 | I Care of Arkansas, Inc. | Pharmacy | 1527 S Bowman Rd, Suite D, Little Rock, AR 72211-4207 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154704062 | Heritage Senior Care LLC | Pharmacy | 607 W Main St Ste B, Jacksonville, AR 72076-4431 | 2015-07-09 |
| 1902298342 | Precision Health Care, Inc | Pharmacy | 113 Parkwood St Ste A, Parkwood Suites Two, Lowell, AR 72745-8811 | 2015-02-23 |
| 1629377742 | Cornerstone Specialty Pharmacy LLC | Pharmacy | 1450 E Zion Rd Ste 1, Fayetteville, AR 72703-4988 | 2011-03-16 |
| 1558383414 | North Central I V & Respiratory Specialists LLC | Pharmacy | 202 E Washington Ave, Jonesboro, AR 72401-3102 | 2006-07-23 |
| 1477728772 | Advanced Home Iv Services | Pharmacy | 1235 Sturgis Rd Ste 7, Conway, AR 72034-9688 | 2008-04-28 |
| 1609990100 | Home I.v. Specialists, Inc. | Pharmacy | 200 S Main St, Jonesboro, AR 72401-2907 | 2007-03-19 |
| 1407920242 | Home I.v. Specialists, Inc. | Pharmacy | 200 S Main St, Jonesboro, AR 72401-2907 | 2006-11-20 |
| City | LITTLE ROCK |
| Zip Code | 72204 |
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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.