Organization Active NPI

De Queen Health and Wellness Pharmacy LLC

  • Community/Retail Pharmacy
  • De Queen, AR
National Provider Identifier
1740420157
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
AR20221 Issued in AR
Legal business name
DE QUEEN HEALTH AND WELLNESS PHARMACY LLC
Practice address
1357 W Collin Raye Dr
De Queen, AR 71832-2946
Phone
(870) 642-4458
Fax
(870) 642-5526
NPI assigned
Feb 25, 2009
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Chester BarberNPI 1972610293
Title
Pharmacist and Owner
Phone
(870) 642-2400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20210114001908 AR Part B Supplier - Pharmacy 5698987642 Practice locations: De Queen, AR
O20220728000377 AR Part B Supplier - Independent Clinical Laboratory 5698987642 Practice locations: De Queen, AR

National Provider Directory

National Provider Directory

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X AR20221 AR Primary
Long Term Care Pharmacy 3336L0003X

Addresses

NPPES NPI Registry

Primary practice location

1357 W Collin Raye Dr
De Queen, AR 71832-2946

Mailing address

1357 W Collin Raye Dr
De Queen, AR 71832-2946
Phone (870) 642-2400

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
200018110AMedicaidOK
0421026OtherNCPDP PROVIDER IDENTIFICATION NUMBER
155535407MedicaidAR

Other names 1

NPPES NPI Registry
  • DE QUEEN HEALTH AND WELLNESS PHARMACY Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 5, 2025.

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1740420157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1357 W COLLIN RAYE DR",
            "city": "DE QUEEN",
            "state": "AR",
            "postal_code": "718322946",
            "telephone_number": "870-642-2400",
            "fax_number": "870-642-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1357 W COLLIN RAYE DR",
            "city": "DE QUEEN",
            "state": "AR",
            "postal_code": "718322946",
            "telephone_number": "870-642-4458",
            "fax_number": "870-642-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE QUEEN HEALTH AND WELLNESS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-25",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "CHESTER",
        "authorized_official_title_or_position": "PHARMACIST AND OWNER",
        "authorized_official_telephone_number": "870-642-2400"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR20221",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200018110A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0421026",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155535407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DE QUEEN HEALTH AND WELLNESS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in De Queen, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.