Organization Active NPI

Zibert Pharmaceuticals Services PA

Doing business as Medicine Shoppe Pharmacy

  • Pharmacist
  • Mountain Home, AR
National Provider Identifier
1326194085
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
AR07001 Issued in AR
Legal business name
ZIBERT PHARMACEUTICALS SERVICES PA
Doing business as
Medicine Shoppe Pharmacy
Practice address
116 Highway 201 N
Mountain Home, AR 72653-3158
Phone
(870) 424-4010
Fax
(870) 425-2585
NPI assigned
Jan 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Leo Zibert, RPH.
Title
Chief Executive Officer
Phone
(870) 424-4010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X AR07001 AR Primary

Addresses

Primary practice location

116 Highway 201 N
Mountain Home, AR 72653-3158

Mailing address

116 Highway 201 N
Mountain Home, AR 72653-3158
Phone (870) 424-4010

Other identifiers 1

IdentifierTypeStateIssuer
135857407MedicaidAR

Other names 1

  • Medicine Shoppe Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medicine Shoppe Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

116 Highway 201 N
Mountain Home, AR 72653
Phone (870) 424-4010

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326194085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 HIGHWAY 201 N",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533158",
            "telephone_number": "870-424-4010",
            "fax_number": "870-425-2585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 HIGHWAY 201 N",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533158",
            "telephone_number": "870-424-4010",
            "fax_number": "870-425-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIBERT PHARMACEUTICALS SERVICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZIBERT",
        "authorized_official_first_name": "LEO",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "870-424-4010",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "AR07001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135857407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mountain Home, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.