Organization Active NPI

Moss Holland Enterprises LLC

Doing business as River Valley Specialty Pharmacy

  • Community/Retail Pharmacy
  • Little Rock, AR
National Provider Identifier
1538858394
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MOSS HOLLAND ENTERPRISES LLC
Doing business as
River Valley Specialty Pharmacy
Practice address
11621 Rainwood Rd Ste 7
Little Rock, AR 72212-3947
Phone
(501) 222-1002
Fax
(501) 222-1807
NPI assigned
May 5, 2023
Last updated
Sep 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Authorized official

Name
Mark Holland, PHARMDNPI 1245929934
Title
Partner
Phone
(803) 447-1959

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
Community/Retail Pharmacy 3336C0003X NU Primary
Specialty Pharmacy 3336S0011X NU

Addresses

Primary practice location

11621 Rainwood Rd Ste 7
Little Rock, AR 72212-3947

Mailing address

PO Box 21294
Little Rock, AR 72221-1294
Phone (803) 447-1959

Other identifiers 1

IdentifierTypeStateIssuer
1245929934OtherPIC NPI

Other names 2

  • River Valley Specialty Pharmacy Doing business as
  • Moss Holland Enterprises LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230701000429 AR Part B Supplier - Pharmacy 4082073440 Practice locations: Little Rock, 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
Moss Holland Enterprises LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

11621 Rainwood Rd
Ste 7
Little Rock, AR 72212
Phone (501) 222-1002

Practitioners & affiliated clinicians

Practitioners 1

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": "1683244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1538858394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21294",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722211294",
            "telephone_number": "803-447-1959",
            "fax_number": "501-222-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11621 RAINWOOD RD STE 7",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722123947",
            "telephone_number": "501-222-1002",
            "fax_number": "501-222-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSS HOLLAND ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-05",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "803-447-1959",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIC NPI",
            "identifier": "1245929934",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Valley Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Moss Holland Enterprises LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; 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.