Active NPI
T&J Ventures LLC
- Community/Retail Pharmacy
- Berryville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- AR01783
- Legal business name
- T&J VENTURES LLC
- Practice address
- 408 Public SQ
Berryville, AR 72616-3958 - Phone
- (870) 423-2737
- Fax
- (870) 423-7253
- NPI assigned
- Jan 19, 2016
- 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
- Tara Willmott
- Title
- Owner, Ao
- Phone
- (870) 365-6777
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | AR01783 | AR | Primary |
Addresses
Primary practice location
408 Public SQ
Berryville, AR 72616-3958
Mailing address
408 Public SQ
Berryville, AR 72616-3958
Phone (870) 423-2737
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 212641407 | Medicaid | AR | |
| 2157489 | Other | PK |
Other names 1
- Poynor Drug
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170112000451 | AR | Part B Supplier - Mass Immunization (Roster Biller Only) | 8325329014 | Practice locations: Berryville, AR |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D2327215 | Poynor Drug | Certificate of waiver | Jul 17, 2027 |
National Provider Directory
National Provider DirectoryLocations
408 Public Sq
Berryville, AR 72616
Phone (870) 423-2737
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Harrison, AR
- NPI 1477974335
-
- Pharmacist
- Berryville, AR
- NPI 1598353781
-
- Pharmacist
- Berryville, AR
- NPI 1326829995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761696000000",
"number": "1194182485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 PUBLIC SQ",
"city": "BERRYVILLE",
"state": "AR",
"postal_code": "726163958",
"telephone_number": "870-423-2737",
"fax_number": "870-423-7253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 PUBLIC SQ",
"city": "BERRYVILLE",
"state": "AR",
"postal_code": "726163958",
"telephone_number": "870-423-2737",
"fax_number": "870-423-7253"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "T&J VENTURES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-19",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A",
"authorized_official_last_name": "WILLMOTT",
"authorized_official_first_name": "TARA",
"authorized_official_title_or_position": "OWNER, AO",
"authorized_official_telephone_number": "870-365-6777"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "AR",
"license": "AR01783",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "212641407",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2157489",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Poynor Drug",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Berryville, AR
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.