Organization Active NPI

Newark Pharmacy, Inc

Doing business as Newark Pharmacy

  • Pharmacist
  • Newark, AR
National Provider Identifier
1689706897
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
AR-12065 Issued in AR
Legal business name
NEWARK PHARMACY, INC
Doing business as
Newark Pharmacy
Practice address
503 Vine St
Newark, AR 72562-0316
Phone
(870) 799-3411
Fax
(870) 799-3411
NPI assigned
Mar 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael L Jeffrey, PDNPI 1548342033
Title
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
Pharmacist 183500000X AR-12065 AR Primary

Addresses

Primary practice location

503 Vine St
Newark, AR 72562-0316

Mailing address

PO Box 316
Newark, AR 72562-0316
Phone (870) 799-3411

Other names 1

  • Newark Pharmacy Doing business as

National Provider Directory

National Provider Directory

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": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689706897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 316",
            "city": "NEWARK",
            "state": "AR",
            "postal_code": "725620316",
            "telephone_number": "870-799-3411",
            "fax_number": "870-799-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 VINE ST",
            "city": "NEWARK",
            "state": "AR",
            "postal_code": "725620316",
            "telephone_number": "870-799-3411",
            "fax_number": "870-799-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWARK PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JEFFREY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-799-3411",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "AR-12065",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.