Active NPI
Power Family Enterprises Inc
- Pharmacy
- Nashville, AR
National Provider Identifier
1053311969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 05046
- Legal business name
- POWER FAMILY ENTERPRISES INC
- Practice address
- 1310 S 4TH St
Nashville, AR 71852-3007 - Phone
- (870) 845-1413
- Fax
- (870) 845-2304
- NPI assigned
- Jul 21, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacque Howard, PD
- Title
- Pharmacist
- Phone
- (870) 845-1413
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 05046 | AR | Primary |
| Community/Retail Pharmacy | 3336C0003X | |||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
1310 S 4TH St
Nashville, AR 71852-3007
Mailing address
PO Box 147
Nashville, AR 71852-0147
Phone (870) 845-1413
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100435407 | Medicaid | AR | |
| 0405046 | Other | AR | NABP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181101002718 | AR | Part B Supplier - Pharmacy | 1355694662 | Practice locations: Nashville, AR |
National Provider Directory
National Provider Directory- Tax ID family
- Power Family Enterprises Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Nashville, AR
- NPI 1356978159
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse
- Nashville, AR
- NPI 1679169833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568592000000",
"number": "1053311969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 147",
"city": "NASHVILLE",
"state": "AR",
"postal_code": "718520147",
"telephone_number": "870-845-1413",
"fax_number": "870-845-2304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 S 4TH ST",
"city": "NASHVILLE",
"state": "AR",
"postal_code": "718523007",
"telephone_number": "870-845-1413",
"fax_number": "870-845-2304"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POWER FAMILY ENTERPRISES INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-21",
"last_updated": "2019-09-16",
"status": "A",
"authorized_official_last_name": "HOWARD",
"authorized_official_first_name": "JACQUE",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "870-845-1413",
"authorized_official_credential": "PD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "AR",
"license": "05046",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100435407",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "0405046",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.