NPIMap

Organization Active NPI

East Arkansas Family Health Center Inc.

Doing business as East Arkansas Family Health Center Pharmacy

  • Community/Retail Pharmacy
  • Lepanto, AR
National Provider Identifier
1295952182
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
EAST ARKANSAS FAMILY HEALTH CENTER INC.
Doing business as
East Arkansas Family Health Center Pharmacy
Practice address
102 W Broad
Lepanto, AR 72354
Phone
(870) 735-3846
Fax
(870) 732-1940
NPI assigned
Apr 20, 2007
Last updated
May 7, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
EAST ARKANSAS FAMILY HEALTH CENTER INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Authorized official

Name
Dr. Susan E Ward-Jones, MDNPI 1851368740
Title
Cheif Executive Officer
Phone
(870) 735-3842

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
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

102 W Broad
Lepanto, AR 72354

Mailing address

102 W Broad
Lepanto, AR 72354
Phone (870) 735-3846

Other identifiers 1

IdentifierTypeStateIssuer
100862407MedicaidAR

Other names 1

  • East Arkansas Family Health Center Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
E Ar Family Health Ctr Inc17 organizations share this tax ID, including this one
Part of
E Ar Family Health Ctr Inc

Other organizations with this tax ID 16

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

View all 16

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": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1295952182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W BROAD",
            "city": "LEPANTO",
            "state": "AR",
            "postal_code": "72354",
            "telephone_number": "870-735-3846",
            "fax_number": "870-732-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W BROAD",
            "city": "LEPANTO",
            "state": "AR",
            "postal_code": "72354",
            "telephone_number": "870-735-3846",
            "fax_number": "870-732-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST ARKANSAS FAMILY HEALTH CENTER INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST ARKANSAS FAMILY HEALTH CENTER INC.",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "WARD-JONES",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHEIF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "870-735-3842",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100862407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Arkansas Family Health Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lepanto, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.