Organization Active NPI

WP Malone Inc

Doing business as Allcare Pharmacy

  • Long Term Care Pharmacy
  • Jonesboro, AR
National Provider Identifier
1336544584
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
WP MALONE INC
Doing business as
Allcare Pharmacy
Practice address
1903 Grant Ave Ste Iandj
Jonesboro, AR 72401-6134
Phone
(870) 935-6364
Fax
(870) 245-1790
NPI assigned
Oct 30, 2014
Last updated
Feb 9, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
W P MALONE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Authorized official

Name
Amber Haycox
Title
VP
Phone
(870) 210-9209

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X AR18257 AR
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1903 Grant Ave Ste Iandj
Jonesboro, AR 72401-6134

Mailing address

PO Box 524
Arkadelphia, AR 71923-0524
Phone (870) 246-5553

Other identifiers 2

IdentifierTypeStateIssuer
124729407MedicaidAR
0418257OtherARNCPDP

Other names 1

  • Allcare Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Allcare Pharmacy4 organizations share this tax ID, including this one
Part of
Allcare Pharmacy

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1336544584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 524",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719230524",
            "telephone_number": "870-246-5553",
            "fax_number": "870-245-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 GRANT AVE STE IANDJ",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016134",
            "telephone_number": "870-935-6364",
            "fax_number": "870-245-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WP MALONE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "W P MALONE INC",
        "enumeration_date": "2014-10-30",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "HAYCOX",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "870-210-9209"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR18257",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124729407",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0418257",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allcare Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Allcare Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.