Active NPI
De Queen Health and Wellness Pharmacy LLC
- Community/Retail Pharmacy
- De Queen, AR
National Provider Identifier
1740420157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- AR20221
- 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 Barber
- 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.
-
- Pharmacist
- De Queen, AR
- NPI 1972610293
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records 2
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectorySpecialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | AR20221 | AR | Primary |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200018110A | Medicaid | OK | |
| 0421026 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 155535407 | Medicaid | AR |
Other names 1
NPPES NPI Registry- DE QUEEN HEALTH AND WELLNESS PHARMACY
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.