Active NPI
Mountain Home Christian Clinic, Inc
- Clinic Pharmacy
- Mountain Home, AR
National Provider Identifier
1134097199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic Pharmacy
- Legal business name
- MOUNTAIN HOME CHRISTIAN CLINIC, INC
- Practice address
- 421 W Wade Ave
Mountain Home, AR 72653-4622 - Phone
- (870) 425-5010
- Fax
- (870) 425-5010
- NPI assigned
- Oct 29, 2025
- 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
- Randall Fragoules, RPH
- Title
- Pharmacist in Charge
- Phone
- (870) 425-5010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic Pharmacy | 3336C0002X | Primary |
Addresses
Primary practice location
421 W Wade Ave
Mountain Home, AR 72653-4622
Mailing address
421 W Wade Ave
Mountain Home, AR 72653-4622
Phone (870) 425-5010
National Provider Directory
National Provider DirectoryLocations
421 W Wade Ave
Mountain Home, AR 72653
Phone (870) 424-5010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761696000000",
"number": "1134097199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 W WADE AVE",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726534622",
"telephone_number": "870-425-5010",
"fax_number": "870-425-5010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 W WADE AVE",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726534622",
"telephone_number": "870-425-5010",
"fax_number": "870-425-5010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN HOME CHRISTIAN CLINIC, INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-29",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A",
"authorized_official_last_name": "FRAGOULES",
"authorized_official_first_name": "RANDALL",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "870-425-5010",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mountain Home, AR
- Hannah Montgomery, RBT
- Chad Steven Mooney, PHARM.D.
- Merwin B Moore, MD
- Pamela Morton, RN
- Mountain Home Al Opco LLC
- Mountain Home Family Chiropractic
- Mountain Home Nephrology and Pulmonology Clinic
- Mountain Home Psychiatric Medicine, PA
- Mountain Home Radiology Consultants
- Mountain Home School District
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.