Active NPI
Zibert Pharmaceuticals Services PA
Doing business as Medicine Shoppe Pharmacy
- Pharmacist
- Mountain Home, AR
National Provider Identifier
1326194085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- AR07001
- 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, 2020
- 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
- Mr. Leo Zibert, RPH.
- Title
- Chief Executive Officer
- Phone
- (870) 424-4010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 135857407 | Medicaid | AR |
Other names 1
- Medicine Shoppe Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Medicine Shoppe Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Mountain Home, AR
- NPI 1043161045
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.