NPIMap

Organization Active NPI

Hah LLC

Doing business as Mitchell's Medi Mart

  • Community/Retail Pharmacy
  • Hope, AR
National Provider Identifier
1447307590
Registry record updated Jan 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
AR20325 Issued in AR
Legal business name
HAH LLC
Doing business as
Mitchell's Medi Mart
Practice address
1523 S Main St
Hope, AR 71801-7202
Phone
(870) 777-5555
Fax
(870) 777-3661
NPI assigned
Jan 4, 2007
Last updated
Jan 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2015

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

Authorized official

Name
Kristi HaysNPI 1801719893
Title
Chief PHRM
Phone
(870) 777-4616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X AR20325 AR Primary
Managed Care Organization Pharmacy 3336M0003X NU

Addresses

Primary practice location

1523 S Main St
Hope, AR 71801-7202

Mailing address

1523 S Main St
Hope, AR 71801-7202
Phone (870) 777-5555

Other identifiers 3

IdentifierTypeStateIssuer
100347407MedicaidAR
1992977OtherPK
148783407MedicaidAR

Other names 1

  • MITCHELL'S MEDI MART Doing business as

National Provider Directory

National Provider Directory

Locations

1523 S Main St
Hope, AR 71801
Phone (870) 777-5555

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420761600000",
    "number": "1447307590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 S MAIN ST",
            "city": "HOPE",
            "state": "AR",
            "postal_code": "718017202",
            "telephone_number": "870-777-5555",
            "fax_number": "870-777-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 S MAIN ST",
            "city": "HOPE",
            "state": "AR",
            "postal_code": "718017202",
            "telephone_number": "870-777-5555",
            "fax_number": "870-777-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2015-01-09",
        "status": "A",
        "authorized_official_last_name": "HAYS",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "CHIEF PHRM",
        "authorized_official_telephone_number": "870-777-4616"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR20325",
            "primary": true
        },
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100347407",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1992977",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148783407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MITCHELL'S MEDI MART",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hope, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; 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.