Active NPI
Arkansas Home Medical Inc
Doing business as American Home Pharmacy
- Long Term Care Pharmacy
- Clinton, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- AR20639
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeremy Riddle
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0423563 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- American Home Pharmacy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D2277017 | American Home Pharmacy | Certificate of waiver | Feb 20, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatric Physical Therapist
- Greenbrier, AR
- NPI 1740683044
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.