Organization Active NPI

Smackover Family Pharmacy, LLC

Doing business as Smackover Pharmacy

  • Community/Retail Pharmacy
  • Smackover, AR
National Provider Identifier
1083625610
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
AR20534 Issued in AR
Legal business name
SMACKOVER FAMILY PHARMACY, LLC
Doing business as
Smackover Pharmacy
Practice address
1402 Pershing Hwy
Smackover, AR 71762
Phone
(870) 725-2220
Fax
(870) 725-2040
NPI assigned
Aug 10, 2006
Last updated
Dec 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Authorized official

Name
Austin Lambert, PHARM.DNPI 1629666409
Title
Owner,Smackover Family Pharmacy,LLC
Phone
(870) 725-2220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X AR20534 AR Primary

Addresses

Primary practice location

1402 Pershing Hwy
Smackover, AR 71762

Mailing address

1402 Pershing Hwy
Smackover, AR 71762
Phone (870) 725-2220

Other identifiers 2

IdentifierTypeStateIssuer
328665407MedicaidAR
1989768OtherPK

Other names 1

  • Smackover Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241204002485 AR Part B Supplier - Pharmacy 8325574106 Practice locations: Smackover, AR

National Provider Directory

National Provider Directory

Locations

1402 Pershing Hwy
Smackover, AR 71762
Phone (870) 725-2220

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1083625610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 PERSHING HWY",
            "city": "SMACKOVER",
            "state": "AR",
            "postal_code": "71762",
            "telephone_number": "870-725-2220",
            "fax_number": "870-725-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 PERSHING HWY",
            "city": "SMACKOVER",
            "state": "AR",
            "postal_code": "71762",
            "telephone_number": "870-725-2220",
            "fax_number": "870-725-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMACKOVER FAMILY PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A",
        "authorized_official_last_name": "LAMBERT",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_title_or_position": "OWNER,SMACKOVER FAMILY PHARMACY,LLC",
        "authorized_official_telephone_number": "870-725-2220",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR20534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "328665407",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1989768",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smackover Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smackover, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.