Organization Active NPI

Warmack Pharmacies Inc

Doing business as Watson Pharmacy

  • Community/Retail Pharmacy
  • Fordyce, AR
National Provider Identifier
1669423810
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WARMACK PHARMACIES INC
Doing business as
Watson Pharmacy
Practice address
802 W 4TH St
Fordyce, AR 71742
Phone
(870) 352-2161
Fax
(870) 352-3236
NPI assigned
May 12, 2006
Last updated
Jan 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

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

Authorized official

Name
Ms. Deborah Herring
Title
Bookkeeper / Pharmacy Tech
Phone
(870) 352-2161

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary
Long Term Care Pharmacy 3336L0003X NU

Addresses

Primary practice location

802 W 4TH St
Fordyce, AR 71742

Mailing address

908 W 4TH St
Fordyce, AR 71742-2216
Phone (870) 352-2161

Other identifiers 2

IdentifierTypeStateIssuer
115604716MedicaidAR
100088407MedicaidAR

Other names 1

  • WATSON PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150505001397 AR Part B Supplier - Mass Immunization (Roster Biller Only) 5496875296 1 other NPI on this enrollment
Practice locations: Fordyce, AR; Rison, AR

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Locations

802 W 4th St
Fordyce, AR 71742
Phone (870) 352-2161

908 W 4th St
Fordyce, AR 71742
Phone (870) 352-2161

Practitioners & affiliated clinicians

Practitioners 5

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": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547424000000",
    "number": "1669423810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 W 4TH ST",
            "city": "FORDYCE",
            "state": "AR",
            "postal_code": "717422216",
            "telephone_number": "870-352-2161",
            "fax_number": "870-352-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 W 4TH ST",
            "city": "FORDYCE",
            "state": "AR",
            "postal_code": "71742",
            "telephone_number": "870-352-2161",
            "fax_number": "870-352-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARMACK PHARMACIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2019-01-14",
        "status": "A",
        "authorized_official_last_name": "HERRING",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "BOOKKEEPER / PHARMACY TECH",
        "authorized_official_telephone_number": "870-352-2161",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115604716",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100088407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WATSON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WATSON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fordyce, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.