Active NPI
Northeast Ark Pharmacy Services
Doing business as Medicine Shoppe
- Community/Retail Pharmacy
- Paragould, AR
National Provider Identifier
1376615153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- NORTHEAST ARK PHARMACY SERVICES
- Doing business as
- Medicine Shoppe
- Practice address
- 1803 W Kingshighway
Paragould, AR 72450-3559 - Phone
- (870) 239-2281
- Fax
- (870) 239-0351
- NPI assigned
- Nov 15, 2006
- Last updated
- Sep 11, 2025
- 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
- Dena Ferman
- Title
- Third Party Plan Coordinator
- Phone
- (314) 993-6000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 0416342 | AR | |
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
1803 W Kingshighway
Paragould, AR 72450-3559
Mailing address
1803 W Kingshighway
Paragould, AR 72450-3559
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0416342 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- MEDICINE SHOPPE
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1376615153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1803 W KINGSHIGHWAY",
"city": "PARAGOULD",
"state": "AR",
"postal_code": "724503559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1803 W KINGSHIGHWAY",
"city": "PARAGOULD",
"state": "AR",
"postal_code": "724503559",
"telephone_number": "870-239-2281",
"fax_number": "870-239-0351"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHEAST ARK PHARMACY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-15",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "FERMAN",
"authorized_official_first_name": "DENA",
"authorized_official_title_or_position": "THIRD PARTY PLAN COORDINATOR",
"authorized_official_telephone_number": "314-993-6000"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "AR",
"license": "0416342",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "0416342",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MEDICINE SHOPPE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Paragould, AR
- Stacey W Noel, M.D.
- Kendra Leeanne Nolan
- Morgan Noles
- Erynn Nooner
- North Arkansas Orthopedic & Surgery Associates
- Northeast Arkansas Community Mental Health Center Inc (Mid South Health Systems, Inc.)
- Northeast Arkansas Community Mental Health Center Inc (MidSouth Health Systems)
- Northeast Arkansas Community Mental Health Center Inc (Mid-South Health Systems, Inc.)
- Northeast Arkansas Pediatric Dentistry PLLC
- Novel Heights LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.