Organization Active NPI

Hot Springs Pharmacy, LLC

  • Community/Retail Pharmacy
  • Hot Springs, AR
National Provider Identifier
1124313267
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
AR20658 Issued in AR
Legal business name
HOT SPRINGS PHARMACY, LLC
Doing business as
Hot Springs Pharmacy
Practice address
1210 Airport Rd
Hot Springs, AR 71913-5334
Phone
(501) 760-2444
Fax
(501) 760-2449
NPI assigned
Jun 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Authorized official

Name
Ms. Aduston Stanford Spivey, RPHNPI 1275283269
Title
Pic, Managing Partner
Phone
(501) 767-0573

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X AR20658 AR Primary
Specialty Pharmacy 3336S0011X AR20658 AR

Addresses

Primary practice location

1210 Airport Rd
Hot Springs, AR 71913-5334

Mailing address

PO Box 2085
Hot Springs, AR 71914-2085
Phone (501) 760-2444

Other names 1

  • Hot Springs Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160812001231 AR Part B Supplier - Mass Immunization (Roster Biller Only) 7719271725 Practice locations: Hot Springs, AR

National Provider Directory

National Provider Directory
Tax ID family
Hot Springs Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1200 Airport Rd
Hot Springs, AR 71913
Phone (501) 760-2444

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1124313267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2085",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719142085",
            "telephone_number": "501-760-2444",
            "fax_number": "501-760-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 AIRPORT RD",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719135334",
            "telephone_number": "501-760-2444",
            "fax_number": "501-760-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOT SPRINGS PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-16",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "SPIVEY",
        "authorized_official_first_name": "ADUSTON",
        "authorized_official_middle_name": "STANFORD",
        "authorized_official_title_or_position": "PIC, MANAGING PARTNER",
        "authorized_official_telephone_number": "501-767-0573",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR20658",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "AR",
            "license": "AR20658",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hot Springs Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hot Springs Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.