Active NPI
Callie Bench, PHARMD
- Pharmacist
- Mabelvale, AR
National Provider Identifier
1770188229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD15087
- Practice address
- 13907 High Rd
Mabelvale, AR 72103-3212 - Phone
- (501) 451-7715
- Fax
- (501) 451-7761
- NPI assigned
- Dec 2, 2020
- Last updated
- Apr 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD15087 | AR | Primary |
Addresses
Primary practice location
13907 High Rd
Mabelvale, AR 72103-3212
Mailing address
3222 Northlake Rd
Alexander, AR 72002-9569
Phone (501) 658-2515
Other practice location 1
7240 Sheridan Rd
White Hall, AR 71602-3224
Phone (870) 850-8010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD15087 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharmacy of Shannon Hills LLC | Current | Accepting new patients |
Locations
13907 High Rd
Mabelvale, AR 72103
Phone (501) 451-7715
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Long Term Care Pharmacy
- Mabelvale, AR
- NPI 1457055972
-
- Pharmacy
- Mabelvale, AR
- NPI 1407508765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650585600000",
"number": "1770188229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3222 NORTHLAKE RD",
"city": "ALEXANDER",
"state": "AR",
"postal_code": "720029569",
"telephone_number": "501-658-2515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13907 HIGH RD",
"city": "MABELVALE",
"state": "AR",
"postal_code": "721033212",
"telephone_number": "501-451-7715",
"fax_number": "501-451-7761"
}
],
"practiceLocations": [
{
"address_1": "7240 Sheridan Rd",
"address_purpose": "LOCATION",
"city": "White Hall",
"state": "AR",
"postal_code": "716023224",
"country_code": "US",
"telephone_number": "870-850-8010",
"fax_number": "870-850-8014",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENCH",
"first_name": "CALLIE",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-02",
"last_updated": "2022-04-22",
"certification_date": "2022-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD15087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mabelvale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.