NPIMap

Organization Active NPI

Medisav Homecare Pharmacies Inc

  • Community/Retail Pharmacy
  • Fort Smith, AR
National Provider Identifier
1518069004
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MEDISAV HOMECARE PHARMACIES INC
Practice address
8820 Rogers Ave
Fort Smith, AR 72903-5245
Phone
(479) 452-2210
Fax
(479) 452-6633
NPI assigned
Sep 4, 2006
Last updated
Oct 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Authorized official

Name
Jamie Schmalz
Title
Owner
Phone
(479) 452-2210

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

8820 Rogers Ave
Fort Smith, AR 72903-5245

Mailing address

8820 Rogers Ave
Fort Smith, AR 72903-5245
Phone (479) 452-2210

Other identifiers 3

IdentifierTypeStateIssuer
100231780BMedicaidAR
105881716MedicaidAR
48817OtherBLUE CROSS PROVIDER NUMB

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930089142 AR DME Supplier - PharmacyDME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Registered PharmacistDME Supplier - Oxygen & Equipment 7517084536 Practice locations: Fort Smith, AR
O20110418000465 AR Part B Supplier - Mass Immunization (Roster Biller Only) 7517084536 Practice locations: Fort Smith, AR

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Medisav Pharmacy7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

8820 Rogers Ave
Fort Smith, AR 72903
Phone (479) 452-0278

NPI Registry JSON

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1518069004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8820 ROGERS AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035245",
            "telephone_number": "479-452-2210",
            "fax_number": "479-452-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8820 ROGERS AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035245",
            "telephone_number": "479-452-2210",
            "fax_number": "479-452-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDISAV HOMECARE PHARMACIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-04",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A",
        "authorized_official_last_name": "SCHMALZ",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-452-2210"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100231780B",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105881716",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMB",
            "identifier": "48817",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.