Heritage Senior Care LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

HERITAGE SENIOR CARE LLC

Doing business as

Heritage Senior Care

Practice address

607 W Main St Ste B
Jacksonville, AR 72076-4431

Phone

(501) 475-0396

Fax

(501) 475-0398

NPI assigned

Jul 9, 2015

Organization subpart

No

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

Authorized official

Name

Mark McMurry

Title

Owner

Phone

(501) 650-4709

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Heritage Senior Care Doing business as

Locations

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1154704062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 W MAIN ST STE B",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720764431",
            "telephone_number": "501-475-0396",
            "fax_number": "501-475-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 W MAIN ST STE B",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720764431",
            "telephone_number": "501-475-0396",
            "fax_number": "501-475-0398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-09",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "MCMURRY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-650-4709"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2153063",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eletha Lajewell Henderson, MHPP
• Tameka Henry, APRN
• Thomas B. Henry, DDS
• Brandi Renee Henson, MD
• Katherine O'Neal Henson, LCSW
• Hernandez Family Care
• Gina Hernandez, LPN
• Julian Hernandez, M.D.
• Lindsay Heston, LMSW
• Suzanne Elizabeth Higgins, APRN

• Long Term Care Pharmacy in Jacksonville, AR
• Providers in Jacksonville, AR by specialty
• Long Term Care Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.