PARK WEST PHARMACY
NPI 1053308940
Pharmacy in Little Rock, AR
NPI Status: Active since October 05, 2005
Contact Information
904 AUTUMN RD
SUITE 275
LITTLE ROCK, AR
ZIP 72211
Phone: (501) 224-3499
Fax: (501) 224-1140
- Organization
- Pharmacy
- CLIA Number: 04D2247630
- CLIA Cert. Type: Pharmacy
- CLIA Exp. Date: 01-06-2028
About PARK WEST PHARMACY
This page provides the complete NPI Profile along with additional information for Park West Pharmacy, a provider established in Little Rock, Arkansas operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1053308940 assigned on October 2005. The practitioner's primary taxonomy code is 333600000X with license number 69175 (AR). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Dr. Bill Bloodworth (Pharmacy Owner)
- NPI
- 1053308940
- Provider Name
- PARK WEST PHARMACY
- Entity Type
- Organization
- Location Address
- 904 AUTUMN RD SUITE 275 LITTLE ROCK, AR 72211
- Location Phone
- (501) 224-3499
- Location Fax
- (501) 224-1140
- Mailing Address
- 904 AUTUMN RD SUITE 275 LITTLE ROCK, AR 72211
- Mailing Phone
- (501) 224-3499
- Mailing Fax
- (501) 224-1140
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-05-2005
- Last Update Date
- 09-12-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pharmacy
- Taxonomy Code
- 333600000X
- Type
- Suppliers
- License No.
- 69175
- License State
- AR
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100701407 | MEDICAID (05) | AR |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 04D2247630
- Facility Type
- Pharmacy
- Certificate Effective Date
- January 07, 2026
- Certificate Expiration Date
- January 06, 2028
- Laboratory Director
- JESSE N. PRUITT
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Park West Pharmacy to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for PARK WEST PHARMACY
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1053308940, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 13 providers are registered at the same or a nearby location.
LITTLE ROCK, AR 72211
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053308940, enumerated as an "organization" on October 05, 2005.
The provider is located at 904 AUTUMN RD SUITE 275 LITTLE ROCK, AR 72211 and the phone number is (501) 224-3499.
Pharmacy with taxonomy code 333600000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
