NPIMap

Organization Active NPI

South Arkansas Pharmacy, Inc

  • Community/Retail Pharmacy
  • El Dorado, AR
National Provider Identifier
1730460338
Registry record updated Dec 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
AR20663 Issued in AR
Legal business name
SOUTH ARKANSAS PHARMACY, INC
Practice address
600 South Timberlane #101
El Dorado, AR 71730
Phone
(870) 639-3929
Fax
(870) 639-3930
NPI assigned
Sep 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2018

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

Authorized official

Name
Amy Marie Cyphers, RPH
Title
Owner/Pic
Phone
(870) 639-3929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X AR20663 AR Primary

Addresses

Primary practice location

600 South Timberlane #101
El Dorado, AR 71730

Mailing address

600 South Timberlane #101
El Dorado, AR 71730
Phone (870) 639-3929

Other identifiers 1

IdentifierTypeStateIssuer
0423777OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • SAMA Clinic Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

600 S Timberlane Dr
#101
El Dorado, AR 71730
Phone (870) 639-3929

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546214400000",
    "number": "1730460338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SOUTH TIMBERLANE #101",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "71730",
            "telephone_number": "870-639-3929",
            "fax_number": "870-639-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SOUTH TIMBERLANE #101",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "71730",
            "telephone_number": "870-639-3929",
            "fax_number": "870-639-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH ARKANSAS PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-09",
        "last_updated": "2018-12-31",
        "status": "A",
        "authorized_official_last_name": "CYPHERS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "870-639-3929",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR20663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0423777",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAMA Clinic Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Dorado, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2018; 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.