NPIMap

Organization Active NPI

Health Depot Pharmacies, LLC

  • Long Term Care Pharmacy
  • Fort Smith, AR
National Provider Identifier
1013473263
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
HEALTH DEPOT PHARMACIES, LLC
Practice address
7700 Highway 271 S
Fort Smith, AR 72908-8028
Phone
(479) 646-7875
Fax
(479) 646-3090
NPI assigned
Feb 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Breann Mashburn
Title
Billing Director
Phone
(479) 646-7875

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

7700 Highway 271 S
Fort Smith, AR 72908-8028

Mailing address

7700 Highway 271 S
Fort Smith, AR 72908-8028
Phone (479) 646-7875

Other names 1

  • Health Depot #1 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Advanced Apothecaries4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550016000000",
    "number": "1013473263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 HIGHWAY 271 S",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729088028",
            "telephone_number": "479-646-7875",
            "fax_number": "479-646-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 HIGHWAY 271 S",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729088028",
            "telephone_number": "479-646-7875",
            "fax_number": "479-646-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH DEPOT PHARMACIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-02-13",
        "status": "A",
        "authorized_official_last_name": "MASHBURN",
        "authorized_official_first_name": "BREANN",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "479-646-7875"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Depot #1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.