Faith & Hope, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

AR20383 Issued in AR

Legal business name

FAITH & HOPE, INC

Doing business as

Medi Shop Pharmacy

Practice address

204 Highway 71 S
Mena, AR 71953-4638

Phone

(479) 394-3287

Fax

(479) 394-0235

NPI assigned

Sep 14, 2011

Last updated

Sep 14, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kay K Garner, LPN

Title

Treasuere

Phone

(479) 394-3254

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MEDI SHOP PHARMACY Doing business as

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1376825406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 HIGHWAY 71 S",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719534638",
            "telephone_number": "479-394-3287",
            "fax_number": "479-394-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 HIGHWAY 71 S",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719534638",
            "telephone_number": "479-394-3287",
            "fax_number": "479-394-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH & HOPE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-14",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "KAY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "TREASUERE",
        "authorized_official_telephone_number": "479-394-3254",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AR",
            "license": "AR20383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156261716",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDI SHOP PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Levi Ellison, PHARMACIST
• Brian Erickson, PHARMD
• Jo Lee Erickson, OTR/L
• Debra Inevia Fairless, APN
• Faith & Hope Inc (Medi Shop Pharmacy)
• Family Dentistry
• John Henry Finck, M.D.
• First Care Family Medicine-Mena PLLC
• Sydney Ford, MSN, APRN, FNP-C
• Steven P Forrest, M.D.

• Durable Medical Equipment & Medical Supplies in Mena, AR
• Providers in Mena, AR by specialty
• Durable Medical Equipment & Medical Supplies in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.