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KAVANAUGH PHARMACY
NPI 1235570334
Pharmacy - Community/Retail Pharmacy in Little Rock, AR

Active since July 17, 2013
5200 KAVANAUGH BLVD, LITTLE ROCK, AR 72207(501) 664-3844(501) 664-3744 Get Directions Write a Review

NPPES record last updated: May 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 12, 2023, Feb 21, 2017 (2 updates tracked since 2017).

About Kavanaugh Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAVANAUGH PHARMACY (NPI 1235570334) is a healthcare organization registered as a community/retail pharmacy in Little Rock, Arkansas and active in the NPI registry since July 2013. The organization lists Anne Pace, Owner Pic, as its authorized official.

NPPES Registry Identity

NPI1235570334
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKAVANAUGHRX LLC
Location Address5200 KAVANAUGH BLVDLittle Rock, AR 72207-4609
Mailing Address5200 Kavanaugh BlvdLittle Rock, AR 72207-4609 · (501) 664-3844 · Fax (501) 664-3744
Phone(501) 664-3844
Fax(501) 664-3744
Organization SubpartNo
Authorized OfficialAnne PaceOwner Pic · (501) 664-3855
Enumeration DateJuly 17, 2013
Last NPPES UpdateMay 12, 20232 updates tracked since enumeration
NPPES CertifiedMay 12, 2023
✔ NPI 1235570334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in AR · AR04183
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
5200 KAVANAUGH BLVD, Little Rock, AR 72207
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Other Names 1

Doing Business AsKavanaugh Pharmacy

Other Identifiers 2

Medicaid100024407AR
Other2141594Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
565 services563 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
318 services318 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
202 services202 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
36 services36 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
36 services36 patients

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAVANAUGHRX LLC
Pharmacy (Long Term Care Pharmacy)
5200 KAVANAUGH BLVD
LITTLE ROCK, AR 72207
Pulaski County (501) 664-3844
WILLIAM JOHNSON INTERN
Student in an Organized Health Care Education/Training Program
5200 KAVANAUGH BLVD
LITTLE ROCK, AR 72207
Pulaski County (501) 664-3844
MACKENZIE FAITH REINHART PHARMD
Pharmacist
5200 KAVANAUGH BLVD
LITTLE ROCK, AR 72207
Pulaski County (501) 664-3844
DR. RICHARD SCOTT PACE PHARM.D.
Pharmacist
5200 KAVANAUGH BLVD
LITTLE ROCK, AR 72207
Pulaski County (501) 664-3844

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kavanaughrx LLC's NPI number?

The NPI number for Kavanaughrx LLC is 1235570334. It was assigned to this organization in the NPPES registry on July 17, 2013. The provider is doing business as Kavanaugh Pharmacy.

Where is Kavanaughrx LLC located?

Kavanaughrx LLC is located at 5200 Kavanaugh Blvd, Little Rock, AR 72207. The listed phone number is (501) 664-3844.

What is Kavanaughrx LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Kavanaughrx LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 52 other insurers list Kavanaughrx LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kavanaughrx LLC was last updated on May 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.