Organization Active NPI

Hayes Newark Pharmacy LLC

Doing business as Newark Pharmacy

  • Community/Retail Pharmacy
  • Newark, AR
National Provider Identifier
1659866341
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HAYES NEWARK PHARMACY LLC
Doing business as
Newark Pharmacy
Practice address
503 Vine St
Newark, AR 72562
Phone
(870) 799-3411
Fax
(870) 799-8439
NPI assigned
Jun 26, 2018
Last updated
Sep 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Authorized official

Name
Stephanie Hayes, PHARM. D.NPI 1750876538
Title
Pic/President
Phone
(870) 799-3411

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

503 Vine St
Newark, AR 72562

Mailing address

503 Vine St
Newark, AR 72562-9711
Phone (870) 799-3411

Other identifiers 1

IdentifierTypeStateIssuer
229773407MedicaidAR

Other names 1

  • Newark Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181018000337 AR Part B Supplier - Mass Immunization (Roster Biller Only) 3577815646 Practice locations: Newark, AR

National Provider Directory

National Provider Directory
Tax ID family
Hayes Newark Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

503 Vine St
Newark, AR 72562
Phone (870) 799-3411

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": "1529971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1659866341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 VINE ST",
            "city": "NEWARK",
            "state": "AR",
            "postal_code": "725629711",
            "telephone_number": "870-799-3411",
            "fax_number": "870-799-8439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 VINE ST",
            "city": "NEWARK",
            "state": "AR",
            "postal_code": "72562",
            "telephone_number": "870-799-3411",
            "fax_number": "870-799-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYES NEWARK PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-26",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PIC/PRESIDENT",
        "authorized_official_telephone_number": "870-799-3411",
        "authorized_official_credential": "PHARM. D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "229773407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newark Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.