Healthcare Provider Details

I. General information

NPI: 1093610024
Provider Name (Legal Business Name): NEIGHBORHOOD LTC PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 S BOWMAN RD STE 4
LITTLE ROCK AR
72211-3427
US

IV. Provider business mailing address

1265 S COTNER BLVD STE 30
LINCOLN NE
68510-4924
US

V. Phone/Fax

Practice location:
  • Phone: 501-300-2951
  • Fax: 501-299-5550
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: MARISSA MCMAHON
Title or Position: COO
Credential:
Phone: 402-484-1184