Organization Active NPI

Debbie's Family Pharmacy, Inc.

Doing business as Debbie's Family Pharmacy

  • Long Term Care Pharmacy
  • Rogers, AR
National Provider Identifier
1487104725
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
AR20204 Issued in AR
Legal business name
DEBBIE'S FAMILY PHARMACY, INC.
Doing business as
Debbie's Family Pharmacy
Practice address
5403 W Pinnacle Pointe Dr
Rogers, AR 72758-8118
Phone
(479) 254-8900
Fax
(479) 254-9809
NPI assigned
Oct 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

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
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X AR20204 AR Primary

Addresses

Primary practice location

5403 W Pinnacle Pointe Dr
Rogers, AR 72758-8118

Mailing address

5403 W Pinnacle Pointe Dr
Rogers, AR 72758-8118
Phone (479) 271-6300

Other identifiers 2

IdentifierTypeStateIssuer
139264407MedicaidAR
2164562OtherPK

Other names 1

  • Debbie's Family Pharmacy Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2287942Debbie's Family Pharmacy5403 W Pinnacle Pointe Drive, Rogers, AR 72758Certificate of waiverAug 17, 2027

National Provider Directory

National Provider Directory
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.

Locations

5403 W Pinnacle Pointe Dr
Rogers, AR 72758
Phone (479) 254-8900

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": "1476144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1487104725",
    "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": "479-254-8900",
            "fax_number": "479-254-9809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBBIE'S FAMILY PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-11",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "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": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "AR",
            "license": "AR20204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139264407",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2164562",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Debbie's Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Debbie's Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.