Faith & Hope Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

AR20383 Issued in AR

Legal business name

FAITH & HOPE INC

Practice address

204 Highway 71 S
Mena, AR 71953-4638

Phone

(479) 394-3254

Fax

(479) 394-0235

NPI assigned

Oct 20, 2006

Organization subpart

No

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

Authorized official

Name

Kay K Garner, LPN

Title

Treasurer

Phone

(479) 394-3254

Specialties & licenses 5

Addresses

Other identifiers 3

Other names 1

• MEDI SHOP PHARMACY Doing business as

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1235211012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 HIGHWAY 71 S",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719534638",
            "telephone_number": "479-394-3254",
            "fax_number": "479-394-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 HIGHWAY 71 S",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719534638",
            "telephone_number": "479-394-3254",
            "fax_number": "479-394-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH & HOPE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "KAY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "479-394-3254",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR20383",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156262407",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20074980",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0421987",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDI SHOP PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Pauline Ellison, PHARMD
• Levi Ellison, PHARMACIST
• Brian Erickson, PHARMD
• Jo Lee Erickson, OTR/L
• Debra Inevia Fairless, APN
• Faith & Hope, Inc
• Family Dentistry
• John Henry Finck, M.D.
• First Care Family Medicine-Mena PLLC
• Sydney Ford, MSN, APRN, FNP-C

• All providers in Mena, AR
• Community/Retail Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.