Debbies Family Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

AR20204 Issued in AR

Legal business name

DEBBIES FAMILY PHARMACY INC

Practice address

5403 W Pinnacle Pointe Dr
Rogers, AR 72758-8118

Phone

(479) 271-6300

Fax

(479) 271-6305

NPI assigned

May 28, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Mize, AONPI 1891199691

Title

President/Pharmacist in Charge

Phone

(479) 271-6300

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• DEBBIES FAMILY PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Tax ID family

Debbie'S Family Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Debbie'S Family Pharmacy, Inc.

  • Long Term Care Pharmacy
  • Rogers, AR
  • NPI 1487104725
  NPD tax ID

Locations

Practitioners 1

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

• Andrew Mize, PHARM.D.

  • Pharmacist
  • Rogers, AR
  • NPI 1891199691
  NPD Authorized official

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

{
    "created_epoch": "1117238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1477556926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5403 W PINNACLE POINTE DR",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588118",
            "telephone_number": "479-271-6300",
            "fax_number": "479-271-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5403 W PINNACLE POINTE DR",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588118",
            "telephone_number": "479-271-6300",
            "fax_number": "479-271-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBBIES FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-28",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "MIZE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "479-271-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AO"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR20204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1989295",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139264407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEBBIES FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DEBBIES FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dayspring Services of Arkansas LLC
• Tatum De la Garza
• Reid Dean
• Haley Deatherage
• Debbie'S Family Pharmacy, Inc.
• Deborah H Dawes, PH.D., Inc.
• Keenan R Decker, D.M.D.
• George Ryan Declerk, M.D.
• Maximiliano Delgado, RBT
• Melisa Renae Deloach, APRN

• Community/Retail Pharmacy in Rogers, AR
• Providers in Rogers, 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 Jul 1, 2021; 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.