EAST END PHARMACY INC. NPI 1023159282

NPI Information

  • NPI: 1023159282
  • Provider Name: EAST END PHARMACY, INC.
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Address: 20381 ARCH ST
    LITTLE ROCK, AR
    ZIP 72206
  • Phone: (501) 888-2830

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NPI Details

EAST END PHARMACY, INC. is a pharmacy in Little Rock, AR. The provider is 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. EAST END PHARMACY, INC. NPI is 1023159282. The provider is registered as an organization entity type.

The provider's business location address is:

20381 ARCH ST
LITTLE ROCK, AR
ZIP 72206-218
Phone: (501) 888-2830
Fax: (501) 888-3118

The provider's authorized official is Erin Brenna Greene .
The authorized official title is Secretary and has the following contact phone number (501) 888-2830.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free (HCPCS:90674)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)

The enumeration date for this NPI number is 2/9/2007 and was last updated on 3/15/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyAR12988ARKANSASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100817407MEDICAIDARKANSAS

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: 11/21/2025

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