MEDICARE: OAK GROVE PHARMACY JFK INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	20695	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2136511	OTHER		PK

General Provider Information

NPI Number	:	1053669325
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OAK GROVE PHARMACY JFK INC

Provider Business Mailing Address
First Line	:	5308 JOHN F KENNEDY BLVD STE 3
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72116-6779
Country	:	US
Telephone Number	:	501-907-2095
Fax Number	:	501-907-2097

Provider Business Practice Location Address
First Line	:	5308 JOHN F KENNEDY BLVD STE 3
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72116-6779
Country	:	US
Telephone Number	:	501-907-2095
Fax Number	:	501-907-2097

Authorized Official
Title or Position	:	PHARMACIST/OWNER
Name	:	TERRY WAYNE PERKINS
Credential	:	PHARMD
Telephone Number	:	501-940-7517

Provider Enumeration Date	:	08/16/2012
Last Update Date	:	01/17/2022

Similar Medicare Providers

1265028799 — DR. CARL ANDREW HOLDER PHARMD
Practice Location Address:

5308 JFK BLVD STE 3
NORTH LITTLE ROCK, AR
72116-6779

Practice Phone: 501-907-2095
Practice Fax: 501-907-2097

1346879079 — DR. BRIAN WESLEY RHEA MD
Practice Location Address:

2933 LAKEWOOD VILLAGE DR
NORTH LITTLE ROCK, AR
72116-8033

Practice Phone: 501-435-1417
Practice Fax:

1871419788 — JOCELIN FULLER
Practice Location Address:

5901 JOHN F KENNEDY BLVD APT 1822
NORTH LITTLE ROCK, AR
72116-5623

Practice Phone: 312-882-2375
Practice Fax:

1922933506 — LAUREN DERR
Practice Location Address:

5532 JFK BLVD
NORTH LITTLE ROCK, AR
72116-6708

Practice Phone: 501-588-3211
Practice Fax:

1033883699 — REED AND HENDERSON WELLNESS
Practice Location Address:

3805 MCCAIN PARK DR STE 116
NORTH LITTLE ROCK, AR
72116-7813

Practice Phone: 501-441-3440
Practice Fax:

1376388397 — DR. SYDNEY SKAGGS PHD
Practice Location Address:

5401 JFK BLVD STE G
NORTH LITTLE ROCK, AR
72116-6740

Practice Phone: 501-528-3291
Practice Fax: 501-285-9241

Directions to “OAK GROVE PHARMACY JFK INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.