Individual provider Active NPI

Robert H Geyer Jr., PHARM.D.

  • Pharmacist
  • Mena, AR
National Provider Identifier
1578801759
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PD04373 Issued in AR
Practice address
204 Highway 71 S
Mena, AR 71953-4638
Phone
(479) 394-3254
Fax
(479) 394-0235
NPI assigned
Jan 23, 2013
Last updated
Jan 23, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PD04373 AR Primary

Addresses

Primary practice location

204 Highway 71 S
Mena, AR 71953-4638

Mailing address

204 Highway 71 S
Mena, AR 71953-4638
Phone (479) 394-3254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PD04373ARMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Medi Shop Pharmacy Current Accepting new patients

Locations

204 Highway 71 S
Mena, AR 71953
Phone (479) 394-3254

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1578801759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 HIGHWAY 71 S",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719534638",
            "telephone_number": "479-394-3254",
            "fax_number": "479-394-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 HIGHWAY 71 S",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719534638",
            "telephone_number": "479-394-3254",
            "fax_number": "479-394-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEYER",
        "first_name": "ROBERT",
        "middle_name": "H",
        "name_suffix": "Jr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD04373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mena, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.