Forrest City Family Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

FORREST CITY FAMILY PHARMACY LLC

Practice address

1111 N Washington St
Forrest City, AR 72335-2150

Phone

(870) 581-9029

NPI assigned

Jan 10, 2019

Last updated

Dec 28, 2023By 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

Dr. Jared Caldwell, PHARMDNPI 1699358622

Title

Owner

Phone

(870) 588-7182

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Jared Caldwell, PHARMD.

  • Pharmacist
  • Forrest City, AR
  • NPI 1699358622
  NPD Authorized official
• Justin Breezeel, PHARMD

  • Pharmacist
  • Forrest City, AR
  • NPI 1023763513
  NPD

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1396218483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N WASHINGTON ST",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723352150",
            "telephone_number": "870-581-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N WASHINGTON ST",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723352150",
            "telephone_number": "870-581-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORREST CITY FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-10",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-588-7182",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0426379",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS RETAIL PHARMACY LICENSE",
            "identifier": "AR20899",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Forrest City Arkansas Hospital Company LLC (Forrest City Medical Center)
• Forrest City Arkansas Hospital Company, LLC (Forrest City Emergency Medicine Associates)
• Forrest City Clinic Company LLC
• Forrest City Emergency Physicians PLLC
• Forrest City Family Pharmacy LLC (Forrest City Family Pharmacy LTC)
• Forrest City Family Practice Clinic, PA
• Forrest City Home Medical Equipment, LLC
• Forrest City Home Medical Equipment, LLC
• Forrest City Physician Services, PLLC
• Forrest City School District

• Community/Retail Pharmacy in Forrest City, AR
• Providers in Forrest City, 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 28, 2023; 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.