Active NPI
Barlow Pharmacies Inc
- Community/Retail Pharmacy
- Van Buren, AR
National Provider Identifier
1730194341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- AR17724
- Legal business name
- BARLOW PHARMACIES INC
- Practice address
- 1515 Fayetteville Rd
Van Buren, AR 72956-2246 - Phone
- (479) 474-7171
- Fax
- (479) 474-3131
- NPI assigned
- Jul 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Barlow
- Title
- Owner/Officer
- Phone
- (479) 474-3466
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | AR17724 | AR | Primary |
Addresses
Primary practice location
1515 Fayetteville Rd
Van Buren, AR 72956-2246
Mailing address
PO Box 6877
Van Buren, AR 72956-0841
Phone (479) 474-7171
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160511716 | Medicaid | AR | |
| 158492407 | Medicaid | AR | |
| 200077200-A | Medicaid | OK | |
| 1995272 | Other | PK |
Other names 1
- PHARMACY EXPRESS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111028000555 | AR | Part B Supplier - Mass Immunization (Roster Biller Only) | 0345442463 | Practice locations: Van Buren, AR |
National Provider Directory
National Provider DirectoryLocations
1515 Fayetteville Rd
Van Buren, AR 72956
Phone (479) 474-7171
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Van Buren, AR
- NPI 1174576003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661212800000",
"number": "1730194341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6877",
"city": "VAN BUREN",
"state": "AR",
"postal_code": "729560841",
"telephone_number": "479-474-7171",
"fax_number": "479-474-3131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 FAYETTEVILLE RD",
"city": "VAN BUREN",
"state": "AR",
"postal_code": "729562246",
"telephone_number": "479-474-7171",
"fax_number": "479-474-3131"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARLOW PHARMACIES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-30",
"last_updated": "2022-08-23",
"certification_date": "2022-08-23",
"status": "A",
"authorized_official_last_name": "BARLOW",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "OWNER/OFFICER",
"authorized_official_telephone_number": "479-474-3466"
},
"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": "AR17724",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "160511716",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "158492407",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200077200-A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "1995272",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PHARMACY EXPRESS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Van Buren, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.