RED RIVER PHARMACY OF LITTLE ROCK NPI 1629525944

NPI Information

NPI: 1629525944
Provider Name: RED RIVER PHARMACY OF LITTLE ROCK

Doing Business As: RED RIVER INFUSION PHARMACY OF LITTLE ROCK

Classification: Home Infusion - 251F00000X
Entity Type: Organization
Address:
1515 S BOWMAN RD STE B
LITTLE ROCK, AR
ZIP 72211
Phone: (501) 907-8949
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RED RIVER PHARMACY OF LITTLE ROCK is a home infusion in Little Rock, AR. RED RIVER PHARMACY OF LITTLE ROCK NPI is 1629525944. The provider is registered as an organization entity type.
The provider Is Doing Business As Red River Infusion Pharmacy Of Little Rock.

The provider's business location address is:

1515 S BOWMAN RD STE B
LITTLE ROCK, AR
ZIP 72211-227
Phone: (501) 907-8949
Fax: (870) 907-5453

The provider's authorized official is Robin Brule .
The authorized official title is Business Director and has the following contact phone number (903) 792-7435.

The enumeration date for this NPI number is 9/2/2016 and was last updated on 10/11/2023.

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
1	333600000X	Pharmacy		AR20687	ARKANSAS	No
2	332B00000X	Durable Medical Equipment & Medical Supplies		AR20687	ARKANSAS	No
3	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	AR20687	ARKANSAS	No
4	3336H0001X	Pharmacy	Home Infusion Therapy Pharmacy			No
5	251F00000X	Home Infusion				Yes

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
1	218342407	MEDICAID	ARKANSAS
2	7625880001	OTHER	ARKANSAS	NSC
3	2165955	OTHER		PK

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: 4/28/2024

NPI Synchronization or Removal

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