Active NPI
Debbie's Family Pharmacy, Inc.
Doing business as Debbie's Family Pharmacy
- Long Term Care Pharmacy
- Rogers, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- AR20204
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Andrew Mize, AO
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 139264407 | Medicaid | AR | |
| 2164562 | Other | PK |
Other names 1
- Debbie's Family Pharmacy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D2287942 | Debbie's Family Pharmacy | Certificate of waiver | Aug 17, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Debbie's Family Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Debbies Family Pharmacy
- Community/Retail Pharmacy
- Rogers, AR
- NPI 1477556926
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.
-
- Pharmacist
- Rogers, AR
- NPI 1891199691
-
- Pharmacist
- Rogers, AR
- NPI 1083279004
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.