PARK WEST PHARMACY – NPI #1053308940
Pharmacy

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.

Health Care Provider Taxonomy Code for Pharmacy

PARK WEST PHARMACY is a pharmacy located in LITTLE ROCK, AR. NPPES has assigned the NPI number 1053308940 to PARK WEST PHARMACY on October 05, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 333600000X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy.

The NPI profile was previously updated about 14 years ago on Sep 12, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PARK WEST PHARMACY below.

NPI Profile for
PARK WEST PHARMACY

NPI Number
1053308940
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PARK WEST PHARMACY
Primary location
904 AUTUMN RD
SUITE 275
LITTLE ROCK, AR 72211-3702
Phone: (501) 224-3499 Fax: (501) 224-1140
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BILL BLOODWORTH
PHARMACY OWNER
Phone: (501) 224-3499
Updated
Identifiers

Identifiers for PARK WEST PHARMACY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDAR100701407
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
333600000X
- Pharmacy (Primary)		 AR 69175

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.