Organization Active NPI

Arkansas Home Medical Inc

Doing business as American Home Pharmacy

  • Long Term Care Pharmacy
  • Clinton, AR
National Provider Identifier
1306946199
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
AR20639 Issued in AR
Legal business name
ARKANSAS HOME MEDICAL INC
Doing business as
American Home Pharmacy
Practice address
129 Bone St
Clinton, AR 72031-6609
Phone
(501) 227-4390
Fax
(870) 448-3697
NPI assigned
Sep 22, 2006
Last updated
Jun 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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

Authorized official

Name
Jeremy RiddleNPI 1740683044
Title
President
Phone
(501) 730-5445

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X AR20639 AR Primary

Addresses

Primary practice location

129 Bone St
Clinton, AR 72031-6609

Mailing address

PO Box 1060
Clinton, AR 72031-1060
Phone (501) 227-4390

Other identifiers 1

IdentifierTypeStateIssuer
0423563OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • American Home Pharmacy Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2277017American Home Pharmacy129 Bone St, Clinton, AR 72031Certificate of waiverFeb 20, 2027

National Provider Directory

National Provider Directory

Locations

129 Bone St
Clinton, AR 72031
Phone (501) 745-4266

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": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372118400000",
    "number": "1306946199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1060",
            "city": "CLINTON",
            "state": "AR",
            "postal_code": "720311060",
            "telephone_number": "501-227-4390",
            "fax_number": "870-448-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 BONE ST",
            "city": "CLINTON",
            "state": "AR",
            "postal_code": "720316609",
            "telephone_number": "501-227-4390",
            "fax_number": "870-448-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS HOME MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2013-06-25",
        "status": "A",
        "authorized_official_last_name": "RIDDLE",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-730-5445"
    },
    "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": null,
            "license": null,
            "primary": false
        },
        {
            "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": "AR",
            "license": "AR20639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0423563",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Home Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.