Family Clinic Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0420272 Issued in AR

Legal business name

FAMILY CLINIC PHARMACY, LLC

Practice address

1208 W Main St
Walnut Ridge, AR 72476-1005

Phone

(870) 886-8100

Fax

(870) 886-9200

NPI assigned

Mar 4, 2007

Last updated

Mar 7, 2023By 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

Mr. Van Allen Clayton, PHARM.D.NPI 1558098210

Title

Pharmacist in Charge

Phone

(870) 886-8100

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Van Allen Clayton, PHARMD

  • Pharmacist
  • Walnut Ridge, AR
  • NPI 1558098210
  NPD (past) Authorized official

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

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1811026156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 W MAIN ST",
            "city": "WALNUT RIDGE",
            "state": "AR",
            "postal_code": "724761005",
            "telephone_number": "870-886-8100",
            "fax_number": "870-886-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 W MAIN ST",
            "city": "WALNUT RIDGE",
            "state": "AR",
            "postal_code": "724761005",
            "telephone_number": "870-886-8100",
            "fax_number": "870-886-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CLINIC PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-04",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "CLAYTON",
        "authorized_official_first_name": "VAN",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "870-886-8100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "0420272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Econo-Med of Walnut Ridge Inc
• Varghese Edattukaren, MD
• Benjamin Engelken, PHARMD
• Terri Evans
• Families, Inc. of Arkansas (Families, Inc.)
• Elizabeth Fike, DO
• Flippo Prescription House Inc. (The Prescription House)
• Logan Gaither
• Robert Edward Gardner, BS, DDS, FAGD
• Glow Aesthetics and Weight Loss, LLC

• Community/Retail Pharmacy in Walnut Ridge, AR
• Providers in Walnut Ridge, 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 Mar 7, 2023; 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.