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NW CANTRELL LLC NPI 1497186340


NPI Information

NPI: 1497186340
Provider Name: NW CANTRELL LLC

Doing Business As: EXPRESS RX ON CANTRELL

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 04D2144465

Address:
7612 CANTRELL RD
LITTLE ROCK, AR
ZIP 72227
Phone: (501) 227-0587
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NW CANTRELL LLC is a community/retail pharmacy pharmacy in Little Rock, AR. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. NW CANTRELL LLC NPI is 1497186340. The provider is registered as an organization entity type.
The provider Is Doing Business As Express Rx On Cantrell.

The provider's business location address is:

7612 CANTRELL RD
LITTLE ROCK, AR
ZIP 72227-320
Phone: (501) 227-0587
Fax: (501) 227-0714

The provider's authorized official is Galen Perkins .
The authorized official title is Ceo and has the following contact phone number (501) 258-4399.

The CLIA number assigned to this NPI record is 04D2144465 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/3/2013 and was last updated on 8/21/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyAR20737ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12143764OTHERPK
2201006407MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.