FAMILY MEDICAL CENTER PHARMACY (NPI# 1801970413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801970413 |
| Entity Type | Organization |
| Organization Name | FAMILY MEDICAL CENTER PHARMACY |
| Practice Address |
4202 S University Ave Little Rock AR 72204-7841 |
| Practice Telephone | 5015623314 |
| Mailing Telephone | 5015623314 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MELISSA SMITH (OWNER/MANAGER) |
| Authorized Official Telephone | 5015623314 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PD08700 | AR | Pharmacy Service Providers |
| Street Address |
4202 S UNIVERSITY AVE |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72204-7841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972508513 | Vincent Calderon | Pediatrics | 4202 S University Ave, Little Rock, AR 72204-7841 | 2005-06-20 |
| 1518374610 | Kristi Leigh Jones | Nurse Practitioner | 4202 S University Ave, Little Rock, AR 72204-7841 | 2014-07-21 |
| 1699118141 | Eric Nathaniel Joseph | Family Medicine | 4202 S University Ave, Little Rock, AR 72204-7841 | 2013-04-15 |
| 1184985905 | Irina V Esteva | Family Medicine | 4202 S University Ave, Little Rock, AR 72204-7841 | 2012-06-07 |
| 1366676678 | Randy L Hogan | Physical Therapist | 4202 S University Ave, Little Rock, AR 72204-7841 | 2009-05-14 |
| 1902030208 | Kara B Swayne | Physical Therapist | 4202 S University Ave, Little Rock, AR 72204-7841 | 2009-05-14 |
| 1013159698 | Christine Lalande | Nurse Practitioner | 4202 S University Ave, Little Rock, AR 72204-7841 | 2009-03-30 |
| 1407026370 | Julia Brooks | Dietitian, Registered | 4202 S University Ave, Little Rock, AR 72204-7841 | 2008-03-07 |
| 1093901506 | Samuel Allen | Physical Therapist | 4202 S University Ave, Little Rock, AR 72204-7841 | 2007-09-18 |
| 1780706663 | Shiva Nallur | Family Medicine | 4202 S University Ave, Little Rock, AR 72204-7841 | 2007-04-04 |
| Find all providers in the same location | ||||
| 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 | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588203236 | Amanda Jill Dixon | Pharmacist | 1800 Riverfront Dr, Little Rock, AR 72202-1882 | 2019-12-29 |
| 1952949471 | Tony Wayne Wilson | Pharmacist | 4409 Stone Creek Cv, Little Rock, AR 72210-4954 | 2019-12-16 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1386280691 | Baptist Health | Pharmacist | 9600 Baptist Health Dr Ste 260, Little Rock, AR 72205-6373 | 2019-11-21 |
| 1851944698 | Rachael Lynette Perkins | Pharmacist | 4301 Atwood Rd, Little Rock, AR 72206 | 2019-07-22 |
| 1255998514 | Gene Peter Dalton Herzig | Pharmacist | 904 Autumn Rd Ste 275, Little Rock, AR 72211-3745 | 2019-05-22 |
| 1366901191 | Nicholas Marks Grunewald | Pharmacist | 210 Congressional Cir, Little Rock, AR 72210-2832 | 2019-03-19 |
| 1073081196 | Carlettee Stephens Seng | Pharmacist | 53 Flintwood Dr, Little Rock, AR 72227-5855 | 2018-11-06 |
| 1720576994 | Corey Hayes | Pharmacist | 4301 W Markham St # 755, Little Rock, AR 72205-7101 | 2018-04-24 |
| 1427577436 | Susan Amanda Schee | Pharmacist | 15400 Chenal Pkwy Ste 100, Little Rock, AR 72211-2016 | 2017-09-12 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72204 |
Please comment or provide details below to improve the information on FAMILY MEDICAL CENTER PHARMACY.
| 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.