NPIMap

Organization Active NPI

Clear Med Solutions LLC

Doing business as Heartland Pharmacy Bentonville LTC

  • Long Term Care Pharmacy
  • Bentonville, AR
National Provider Identifier
1255164059
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
CLEAR MED SOLUTIONS LLC
Doing business as
Heartland Pharmacy Bentonville LTC
Practice address
2805 SW 14TH St Ste 11
Bentonville, AR 72712-1089
Phone
(479) 448-4343
Fax
(888) 622-9630
NPI assigned
Aug 26, 2024
Last updated
Aug 26, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CLEAR MED SOLUTIONS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Authorized official

Name
Christopher Charles Cooper, PHARM.D.NPI 1922695535
Title
Director of Operations
Phone
(479) 650-6965

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

2805 SW 14TH St Ste 11
Bentonville, AR 72712-1089

Mailing address

2805 SW 14TH St Ste 11
Bentonville, AR 72712-1089
Phone (479) 448-4343

Other names 1

  • Heartland Pharmacy Bentonville LTC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clear Med Solutions LLC2 organizations share this tax ID, including this one
Part of
Clear Med Solutions LLC

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1255164059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 SW 14TH ST STE 11",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727121089",
            "telephone_number": "479-448-4343",
            "fax_number": "888-622-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 SW 14TH ST STE 11",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727121089",
            "telephone_number": "479-448-4343",
            "fax_number": "888-622-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR MED SOLUTIONS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLEAR MED SOLUTIONS LLC",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "479-650-6965",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland Pharmacy Bentonville LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.