Individual provider Active NPI

Callie Bench, PHARMD

  • Pharmacist
  • Mabelvale, AR
National Provider Identifier
1770188229
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PD15087 Issued in AR
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PD15087ARMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.