Southeast Arkansas Pharmacies LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

AR20742 Issued in AR

Legal business name

SOUTHEAST ARKANSAS PHARMACIES LLC

Doing business as

The Prescription Pad Pharmacy

Practice address

539 Highway 425 S
Monticello, AR 71655-4674

Phone

(870) 367-4227

Fax

(870) 367-4211

NPI assigned

Dec 4, 2013

Last updated

Dec 9, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian SmithNPI 1841548765

Title

Owner/Pharmacist in Charge

Phone

(870) 460-5201

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• The Prescription Pad Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Wayne Smith, PHARMD

  • Pharmacist
  • Monticello, AR
  • NPI 1841548765
  NPD Authorized official
• Leah Cyphers, PHARM D.

  • Pharmacist
  • Monticello, AR
  • NPI 1508396904
  NPD (past)

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

{
    "created_epoch": "1386115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418083200000",
    "number": "1790116523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1012",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716571012",
            "telephone_number": "870-367-4227",
            "fax_number": "870-367-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 HIGHWAY 425 S",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716554674",
            "telephone_number": "870-367-4227",
            "fax_number": "870-367-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST ARKANSAS PHARMACIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-04",
        "last_updated": "2014-12-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER/PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "870-460-5201"
    },
    "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": "AR20742",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2144706",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Prescription Pad Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine R Smith, MS CCC-SLP
• Kristen Nicole Smith, RN, BSN
• Susan Wolfe Smith, APRN
• Tina Smith
• South Arkansas Rehabilitation, Inc.
• Southeast Arkansas Pharmacies LLC (The Prescription Pad Pharmacy)
• Southeast Clinic (Jefferson Management Services, Inc.d/b/a Southeast Clinic)
• Southeast Education Service Coop
• Southeast Emergency Medical Service, Inc
• Southern Roots Medical Essentials

• Community/Retail Pharmacy in Monticello, AR
• Providers in Monticello, AR by specialty
• Community/Retail Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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.