NPIMap

WPM Community Pharmacies, LLC

Organization Active NPI Community/Retail Pharmacy · El Dorado, AR

NPI 1477547362 · NPPES record last updated Aug 20, 2019

Key facts

NPI
1477547362
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
AR02571 (AR)
Legal business name
WPM COMMUNITY PHARMACIES, LLC
Practice address
710 N West Ave
El Dorado, AR 71730-4655
Phone
(870) 863-8111
Fax
(870) 863-4104
NPI assigned
Sep 7, 2005
Organization subpart
No

Authorized official

Name
Amber Haycox
Title
VP of Revenue Operations
Phone
(870) 403-9400

Corporate family (same tax ID) 7

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Allcare Pharmacy (8 organizations share this tax ID)

Locations

710 N West Ave
El Dorado, AR 71730
Phone (870) 863-8111

102 E Elm St
El Dorado, AR 71730
Phone (870) 863-8111

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X AR02571 AR Yes
Long Term Care Pharmacy 3336L0003X
Long Term Care Pharmacy 3336L0003X AR02571 AR

Addresses

Primary practice location

710 N West Ave
El Dorado, AR 71730-4655

Mailing address

PO Box 524
Arkadelphia, AR 71923-6024
Phone (870) 403-9400

Other identifiers

IdentifierTypeStateIssuer
1992910OtherPK
149142716MedicaidAR

Other names

  • Allcare Pharmacy Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 20, 2019.

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566259200000",
    "number": "1477547362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 524",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719236024",
            "telephone_number": "870-403-9400",
            "fax_number": "870-245-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N WEST AVE",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304655",
            "telephone_number": "870-863-8111",
            "fax_number": "870-863-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WPM COMMUNITY PHARMACIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2019-08-20",
        "status": "A",
        "authorized_official_last_name": "HAYCOX",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "VP OF REVENUE OPERATIONS",
        "authorized_official_telephone_number": "870-403-9400"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR02571",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "AR",
            "license": "AR02571",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1992910",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149142716",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allcare Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Allcare Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Dorado, AR

All providers in El Dorado, AR · Community/Retail Pharmacy in Arkansas

Sources for this page

Verify at the official NPI Registry.