Active NPI
River Bend Pharmacy Group LLC
- Community/Retail Pharmacy
- Searcy, AR
National Provider Identifier
1083486419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- RIVER BEND PHARMACY GROUP LLC
- Practice address
- 103 W Arch Ave
Searcy, AR 72143-7701 - Phone
- (501) 268-2536
- Fax
- (501) 278-5777
- NPI assigned
- Oct 30, 2023
- 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
- Donald Peyton Harvey, PHARM D.
- Title
- President
- Phone
- (501) 268-2536
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
103 W Arch Ave
Searcy, AR 72143-7701
Mailing address
103 W Arch Ave
Searcy, AR 72143-7701
Phone (501) 268-2536
Other names 1
- Stotts Family Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230831002281 | AR | Part B Supplier - Pharmacy | 4486017902 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Des Arc, AR; Searcy, AR |
| O20240329001925 | AR | DME Supplier - Pharmacy | 4486017902 | Practice locations: Searcy, AR |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
313 Main St
Des Arc, AR 72040
Phone (870) 256-4317
103 W Arch Ave
Searcy, AR 72143
Phone (501) 268-2536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698624000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698624000000",
"number": "1083486419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 W ARCH AVE",
"city": "SEARCY",
"state": "AR",
"postal_code": "721437701",
"telephone_number": "501-268-2536",
"fax_number": "501-278-5777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 W ARCH AVE",
"city": "SEARCY",
"state": "AR",
"postal_code": "721437701",
"telephone_number": "501-268-2536",
"fax_number": "501-278-5777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVER BEND PHARMACY GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-30",
"last_updated": "2023-10-30",
"certification_date": "2023-10-28",
"status": "A",
"authorized_official_last_name": "HARVEY",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "PEYTON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "501-268-2536",
"authorized_official_credential": "PHARM D."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Stotts Family Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Searcy, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.