Organization Active NPI

Southern Health and Wellness, Inc

Doing business as Southern Pharmacy of Arkansas

  • Community/Retail Pharmacy
  • Jonesboro, AR
National Provider Identifier
1639180219
Registry record updated Nov 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
AR10314 Issued in AR
Legal business name
SOUTHERN HEALTH AND WELLNESS, INC
Doing business as
Southern Pharmacy of Arkansas
Practice address
3005 Apache Dr
Jonesboro, AR 72401-7432
Phone
(870) 972-1751
Fax
(870) 931-0992
NPI assigned
Aug 10, 2006
Last updated
Nov 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2025

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

Authorized official

Name
Dr. Kyle Andrew Lomax, PHARM. D.NPI 1003325788
Title
President
Phone
(870) 275-9496

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X AR10314 AR Primary
Long Term Care Pharmacy 3336L0003X AR10314 AR

Addresses

Primary practice location

3005 Apache Dr
Jonesboro, AR 72401-7432

Mailing address

3005 Apache Dr
Jonesboro, AR 72401-7432
Phone (870) 972-1751

Other identifiers 1

IdentifierTypeStateIssuer
AR10314OtherARARKANSAS PHARMACY PERMIT

Other names 1

  • Southern Pharmacy of Arkansas Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201203002720 AR Part B Supplier - Pharmacy 7810308327 5 other NPIs on this enrollment
Practice locations: Marked Tree, AR; Lepanto, AR; Jonesboro, AR

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

803 Highway 18
#B
Lake City, AR 72437
Phone (870) 237-8010

730 Greenwood Ave
#A
Lepanto, AR 72354
Phone (870) 475-2617

230 Newsome Dr
Ste a
Marked Tree, AR 72365
Phone (870) 358-2135

230 Newsome Dr Ste a
Southern Pharmacy of Arkansas
Marked Tree, AR 72365
Phone (870) 358-2135

214 W Drew Ave
Monette, AR 72447
Phone (870) 486-2111

Practitioners & affiliated clinicians

Practitioners 2

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": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761955200000",
    "number": "1639180219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 APACHE DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017432",
            "telephone_number": "870-972-1751",
            "fax_number": "870-931-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 APACHE DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017432",
            "telephone_number": "870-972-1751",
            "fax_number": "870-931-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN HEALTH AND WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2025-11-01",
        "certification_date": "2025-11-01",
        "status": "A",
        "authorized_official_last_name": "LOMAX",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-275-9496",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM. D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR10314",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "AR",
            "license": "AR10314",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS PHARMACY PERMIT",
            "identifier": "AR10314",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Pharmacy of Arkansas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2025; 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.