| NPI | 1043990625 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2023-07-19 |
| Last Updated | 2023-11-01 |
| Authorized Official | Randy Kassissieh Owner Phone: 5018514949 |
| Mailing Address | 1701 Club Manor Dr Maumelle, AR 72113-7401 United States Phone: (501) 851-4949 | Fax: (501) 851-7390 📍 View Map |
| Primary Practice Address | 1701 Club Manor Dr Maumelle, AR 72113-7401 United States Phone: (501) 851-4949 | Fax: (501) 851-7390 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | — | — |
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About NPI 1043990625
Maumelle Family Pharmacy Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1043990625. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Maumelle, AR. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2023-07-19. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1043990625?
NPI 1043990625 belongs to Maumelle Family Pharmacy Llc, a Pharmacy, Community/Retail Pharmacy in Maumelle, AR. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1043990625 active?
The current status of NPI 1043990625 in the NPPES registry is Active. The record was last updated on 2023-11-01.
What specialty is NPI 1043990625?
NPI 1043990625 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1043990625?
You can verify NPI 1043990625 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1043990625?
The primary practice address on file for NPI 1043990625 is 1701 Club Manor Dr, Maumelle, AR 72113-7401. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1043990625 issued?
NPI 1043990625 was first issued (enumerated) on 2023-07-19. The NPPES record was last updated on 2023-11-01.
Practice Location Map
Maumelle Family Pharmacy Llc is located at 1701 Club Manor Dr, Maumelle, AR. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Maumelle Family Pharmacy Llc. All records sourced from the CMS NPPES registry.