Active NPI
Blia Vang, PHARM.D.
- Pharmacist
- Siloam Springs, AR
National Provider Identifier
1366723744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD09808
- Practice address
- 440 Hwy 412 West
Siloam Springs, AR 72761 - Phone
- (479) 524-3671
- Fax
- (479) 524-3696
- NPI assigned
- Aug 30, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD09808 | AR | Primary |
| Pharmacist | 183500000X | 13508-040 | WI |
Addresses
Primary practice location
440 Hwy 412 West
Siloam Springs, AR 72761
Mailing address
440 Hwy 412 West
Siloam Springs, AR 72761
Phone (479) 524-3671
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD09808 | AR | MD | Pharmacist |
| 13508-040 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
440 Highway 412 W
Siloam Springs, AR 72761
Phone (479) 524-3671
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Siloam Springs, AR
- NPI 1588701692
-
- Pharmacy
- Springdale, AR
- NPI 1649285909
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676505600000",
"number": "1366723744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 HWY 412 WEST",
"city": "SILOAM SPRINGS",
"state": "AR",
"postal_code": "72761",
"telephone_number": "479-524-3671",
"fax_number": "479-524-3696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 HWY 412 WEST",
"city": "SILOAM SPRINGS",
"state": "AR",
"postal_code": "72761",
"telephone_number": "479-524-3671",
"fax_number": "479-524-3696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANG",
"first_name": "BLIA",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-30",
"last_updated": "2023-02-16",
"certification_date": "2023-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD09808",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "13508-040",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Siloam Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.