Organization Active NPI

River Bend Pharmacy Group LLC

  • Community/Retail Pharmacy
  • Searcy, AR
National Provider Identifier
1083486419
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Oct 30, 2023

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 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 Directory

Locations

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.

Verify at the official NPI Registry.