St. Francis Discount Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ST. FRANCIS DISCOUNT PHARMACY LLC

Practice address

1132 N Washington St
Forrest City, AR 72335-2158

Phone

(870) 594-0760

Fax

(870) 594-0795

NPI assigned

May 11, 2021

Last updated

Jun 18, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Randy Kassissieh, PHARMDNPI 1588950752

Title

Owner

Phone

(501) 772-1123

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Randy Issa Kassissieh, PHARMD

  • Pharmacist
  • North Little Rock, AR
  • NPI 1588950752
  Authorized official Same address or phone
• Byron Edney Johnson, PHARMD

  • Pharmacist
  • Forrest City, AR
  • NPI 1629647722
  NPD
• Holly K Price, PHARMD

  • Pharmacist
  • Little Rock, AR
  • NPI 1750057162
  NPD

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623974400000",
    "number": "1023692449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26690",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722216621",
            "telephone_number": "870-594-0760",
            "fax_number": "870-594-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 N WASHINGTON ST",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723352158",
            "telephone_number": "870-594-0760",
            "fax_number": "870-594-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. FRANCIS DISCOUNT PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-04",
        "status": "A",
        "authorized_official_last_name": "KASSISSIEH",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-772-1123",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266553407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Spencer, RN
• St Francis Emergency Group LLC
• William Thomas St John, DDS
• St. Francis Area Developmental Center
• St. Francis County Community Development Corporation
• St. Francis Discount Pharmacy LLC
• Jason Stallings, MHPP
• State of Arkansas (St Francis County Health Unit)
• State of Arkansas (Arkansas Department of Health Hospice 9E)
• Kaitlin Claire Stephens

• Community/Retail Pharmacy in Forrest City, AR
• Providers in Forrest City, AR by specialty
• Community/Retail Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.