Organization Active NPI

Harrison Family Pharmacy, P.L.L.C.

  • Pharmacist
  • Benton, AR
National Provider Identifier
1295296614
Registry record updated Aug 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Legal business name
HARRISON FAMILY PHARMACY, P.L.L.C.
Practice address
2323 N Highway 229 Ste a
Benton, AR 72015-7202
Phone
(870) 919-4636
NPI assigned
Mar 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2019

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

Authorized official

Name
Ray Bob Harrison, PHARM. DNPI 1871847095
Title
Pharmacist
Phone
(870) 919-4636

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)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X Primary

Addresses

Primary practice location

2323 N Highway 229 Ste a
Benton, AR 72015-7202

Mailing address

2323 N Highway 229 Ste a
Benton, AR 72015-7202
Phone (501) 794-6338

Other identifiers 1

IdentifierTypeStateIssuer
233508407MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190906000570 AR Part B Supplier - Pharmacy 6002145760 Practice locations: Benton, AR

National Provider Directory

National Provider Directory

Locations

2323 N Highway 229
Benton, AR 72015
Phone (501) 794-6338

2323 N Highway 229
Ste A
Benton, AR 72015
Phone (501) 794-6338

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564704000000",
    "number": "1295296614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 N HIGHWAY 229 STE A",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720157202",
            "telephone_number": "501-794-6338",
            "fax_number": "501-794-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 N HIGHWAY 229 STE A",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720157202",
            "telephone_number": "870-919-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISON FAMILY PHARMACY, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-28",
        "last_updated": "2019-08-02",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "BOB",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "870-919-4636",
        "authorized_official_credential": "PHARM. D"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "233508407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.