Westside Family Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

AR20556 Issued in AR

Legal business name

WESTSIDE FAMILY PHARMACY INC

Doing business as

Westside Health Mart Pharmacy

Practice address

3819 W Sunset Ave
Springdale, AR 72762-4959

Phone

(479) 756-3232

Fax

(479) 756-1217

NPI assigned

Mar 23, 2007

Last updated

Dec 22, 2014By 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

Jonathan Ragan, PHRMNPI 1508584822

Title

Owner, Pic

Phone

(479) 756-3232

Specialties & licenses 3

Addresses

Other names 1

• WESTSIDE HEALTH MART PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan Norris Ragan, PD

  • Pharmacist
  • Springdale, AR
  • NPI 1508584822
  NPD Authorized official
• Leann Bryant, PHARMD

  • Pharmacist
  • Springdale, AR
  • NPI 1487432845
  NPD

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1386761757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3819 W SUNSET AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727624959",
            "telephone_number": "479-756-3232",
            "fax_number": "479-756-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3819 W SUNSET AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727624959",
            "telephone_number": "479-756-3232",
            "fax_number": "479-756-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "RAGAN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER, PIC",
        "authorized_official_telephone_number": "479-756-3232",
        "authorized_official_credential": "PHRM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR20556",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WESTSIDE HEALTH MART PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wesley M Andersen OD PA (Springdale Vision Clinic)
• Adrienne Dawn West, APRN
• Carter Kaleb West
• Michael Brian West, APRN
• Sarah Morris Weston, M.D.
• Westwood Health and Rehab, Inc.
• Weum Health Center
• Krystine Weum, D.C.
• Richard Weum, D.C.
• WH Ar Dental PLLC

• Community/Retail Pharmacy in Springdale, AR
• Providers in Springdale, AR by specialty
• Community/Retail Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.