Organization Active NPI

Newsom Family Pharmacy LLC

  • Community/Retail Pharmacy
  • Strong, AR
National Provider Identifier
1326169152
Registry record updated Dec 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
AR10403 Issued in AR
Legal business name
NEWSOM FAMILY PHARMACY LLC
Practice address
9661 Strong Hwy
Strong, AR 71765-8801
Phone
(870) 797-2011
NPI assigned
Apr 2, 2007
Last updated
Dec 30, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2016

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

Authorized official

Name
Leah Moyer
Title
Manager
Phone
(870) 797-2011

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Community/Retail Pharmacy 3336C0003X AR10403 AR Primary

Addresses

Primary practice location

9661 Strong Hwy
Strong, AR 71765-8801

Mailing address

PO Box 731
Strong, AR 71765-0731
Phone (870) 797-2011

Other identifiers 3

IdentifierTypeStateIssuer
0410403OtherNABP
100661407MedicaidAR
167499716MedicaidAR

National Provider Directory

National Provider Directory

Locations

9661 Strong Hwy
Strong, AR 71765
Phone (870) 797-2011

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483056000000",
    "number": "1326169152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 731",
            "city": "STRONG",
            "state": "AR",
            "postal_code": "717650731",
            "telephone_number": "870-797-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9661 STRONG HWY",
            "city": "STRONG",
            "state": "AR",
            "postal_code": "717658801",
            "telephone_number": "870-797-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWSOM FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2016-12-30",
        "status": "A",
        "authorized_official_last_name": "MOYER",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "870-797-2011"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR10403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "0410403",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100661407",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167499716",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Strong, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; 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.