NPIMap

Organization Active NPI

Midsouth Medical Specialties, LLC

Doing business as National Park Pharmacy

  • Community/Retail Pharmacy
  • Hot Springs, AR
National Provider Identifier
1215460688
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
AR15732 Issued in AR
Legal business name
MIDSOUTH MEDICAL SPECIALTIES, LLC
Doing business as
National Park Pharmacy
Practice address
1534 Malvern Ave
Hot Springs, AR 71901-6508
Phone
(501) 623-2280
NPI assigned
Apr 4, 2017
Last updated
Apr 4, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Authorized official

Name
Edwin O'Bannon, RPH
Title
Ceo
Phone
(662) 449-7876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X AR15732 AR Primary

Addresses

Primary practice location

1534 Malvern Ave
Hot Springs, AR 71901-6508

Mailing address

185 W Center St
Hernando, MS 38632-2268
Phone (662) 449-7876

Other names 1

  • National Park Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Misdouth Medical Specialties LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1534 Malvern Ave
Hot Springs, AR 71901
Phone (501) 623-2280

185 W Center St
Hernando, MS 38632
Phone (901) 262-4317

NPI Registry JSON

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1215460688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 W CENTER ST",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386322268",
            "telephone_number": "662-449-7876",
            "fax_number": "662-449-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1534 MALVERN AVE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719016508",
            "telephone_number": "501-623-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDSOUTH MEDICAL SPECIALTIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-04",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "O'BANNON",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-449-7876",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR15732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "National Park 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 Apr 4, 2017; 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.