Michael D Hambuchen Sr., R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

AR10249 Issued in AR

Practice address

1155 Main St
Vilonia, AR 72173-9525

Phone

(501) 796-2116

Fax

(501) 796-2117

NPI assigned

Sep 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vilonia Drug Inc

  • Community/Retail Pharmacy
  • Vilonia, AR
  • NPI 1497753461
  NPD Authorized official

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508968389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 HERMES DR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720328549",
            "telephone_number": "501-327-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 MAIN ST",
            "city": "VILONIA",
            "state": "AR",
            "postal_code": "721739525",
            "telephone_number": "501-796-2116",
            "fax_number": "501-796-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMBUCHEN",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "AR10249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100647407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David J. Manning, OD, PA
• Olivia K Davis
• Savannah Davis
• Sarah Elizabeth Eskola, OTD, OTR
• Stephen Grantham, RN
• Harps Food Stores, Inc
• Crystal L. Hart, LAC
• Sequoia Head
• Sarah Heinsohn
• Ericka Herndon, APRN

• All providers in Vilonia, AR
• Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.