Lonoke Health & Wellness Inc
Organization Active NPI Community/Retail Pharmacy · Lonoke, AR
NPI 1487764510 · NPPES record last updated Feb 5, 2025
Key facts
- NPI
- 1487764510
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- AR20286 (AR)
- Legal business name
- LONOKE HEALTH & WELLNESS INC
- Practice address
- 115 W Front St
Lonoke, AR 72086-3117 - Phone
- (501) 676-2247
- Fax
- (501) 676-3833
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Trisha L Smith, PHARMD
- Title
- Owner
- Phone
- (501) 676-2247
Practitioners 4
-
Tannya I Pennington, PTA
-
Trisha Leigh Smith, PHARMD
-
Angela Katherine Sumner, PHARMD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110915000304 | AR | Part B Supplier - Mass Immunization (Roster Biller Only) | 0042412140 | Practice locations: Lonoke, AR |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | AR20286 | AR | Yes |
Addresses
Primary practice location
115 W Front St
Lonoke, AR 72086-3117
Mailing address
PO Box 680
Lonoke, AR 72086-0680
Phone (501) 676-2247
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 143623407 | Medicaid | AR | |
| 1993250 | Other | PK |
Other names
- LYONS DRUG STORE
Other providers in Lonoke, AR
- Aaron L Lamaster
- Miriam Danielle Lawrence
- Taylor Leavy
- LNH One LLC
- Kelsey Taylor Lockart
- Lonoke Health & Wellness PA
- Lonoke Health and Rehab Center, LLC
- Lonoke Healthcare & Rehab, LLC
- Lonoke Healthcare Center and Rehabilitation Facility LLC
- Lonoke Nursing and Rehabilitation Center, LLC
All providers in Lonoke, AR · Community/Retail Pharmacy in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.