Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CONWAY REGIONAL MEDICAL CENTER, INC
NPI 1558038653
Pharmacy - Community/Retail Pharmacy in Conway, AR

Active since August 26, 2021CLIA 04D2268435 · Waiver
2180 ADA AVE STE 100, CONWAY, AR 72034(501) 255-3500(501) 255-3434 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 29, 2026, Oct 4, 2021, Aug 26, 2021 (3 updates tracked since 2021).

About Conway Regional Medical Center, Inc NPPES

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

CONWAY REGIONAL MEDICAL CENTER, INC (NPI 1558038653), doing business as Conway Outpatient Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Conway, Arkansas and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through September 11, 2028 and lists Joshua Roberts, Pharmacy Director, as its authorized official.

NPPES Registry Identity

NPI1558038653
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCONWAY REGIONAL MEDICAL CENTER, INC
Location Address2180 ADA AVE STE 100Conway, AR 72034-4916
Mailing Address2180 Ada Ave Ste 100Conway, AR 72034-4014
Fax(501) 255-3434
Organization SubpartNo
Authorized OfficialJoshua RobertsPharmacy Director · (501) 513-5703
Enumeration DateAugust 26, 2021
Last NPPES UpdateSeptember 29, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2026
✔ NPI 1558038653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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.
2180 ADA AVE STE 100, Conway, AR 72034

Other Names 1

Doing Business AsConway Outpatient Pharmacy

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2268435

Conway Outpatient Pharmacy · Conway, AR
Active · expires Sep 11, 2028
CLIA Number04D2268435
Laboratory TypePharmacy
Certificate Effective DateSeptember 12, 2026
Certificate Expiration DateSeptember 11, 2028
Laboratory DirectorTina Erwin
Laboratory Phone(501) 255-3500
Laboratory LocationConway Outpatient Pharmacy2180 Ada Ave, Suite 100, Conway, AR 72034
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

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.
23 services23 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.
20 services20 patients

Other Providers at the Same Location NPPES

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

Pharmacist
2180 ADA AVE STE 100
CONWAY, AR 72034

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 Conway Regional Medical Center, Inc's NPI number?

The NPI number for Conway Regional Medical Center, Inc is 1558038653. It was assigned to this organization in the NPPES registry on August 26, 2021. The provider is doing business as Conway Outpatient Pharmacy.

Where is Conway Regional Medical Center, Inc located?

Conway Regional Medical Center, Inc is located at 2180 Ada Ave Ste 100, Conway, AR 72034. The listed phone number is (501) 255-3500.

What is Conway Regional Medical Center, Inc's specialty?

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

Does Conway Regional Medical Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2268435) is associated with this NPI, valid through September 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Conway Regional Medical Center, Inc 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 51 other insurers list Conway Regional Medical Center, Inc 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 Conway Regional Medical Center, Inc was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.