Organization Active NPI

Achor Family Pharmacy, LLC

Doing business as Achor Family Pharmacy

  • Community/Retail Pharmacy
  • Maumelle, AR
National Provider Identifier
1811553100
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ACHOR FAMILY PHARMACY, LLC
Doing business as
Achor Family Pharmacy
Practice address
1900 Club Manor Dr Ste 101
Maumelle, AR 72113-7443
Phone
(501) 274-1130
Fax
(501) 274-1131
NPI assigned
May 13, 2019
Last updated
Jun 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Authorized official

Name
Dr. Brandon Achor, PHARMDNPI 1104310366
Title
Owner
Phone
(501) 274-1130

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

1900 Club Manor Dr Ste 101
Maumelle, AR 72113-7443

Mailing address

1900 Club Manor Dr Ste 101
Maumelle, AR 72113-7443
Phone (501) 274-1130

Other identifiers 3

IdentifierTypeStateIssuer
234295407MedicaidAR
PD13065OtherARPHARMACIST LICENSE
AR20908OtherARSTATE RETAIL PHARMACY LICENSE

Other names 1

  • ACHOR FAMILY PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240515004195 AR Part B Supplier - Pharmacy 3476880063 Practice locations: Maumelle, AR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1811553100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 CLUB MANOR DR STE 101",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721137443",
            "telephone_number": "501-274-1130",
            "fax_number": "501-274-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 CLUB MANOR DR STE 101",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721137443",
            "telephone_number": "501-274-1130",
            "fax_number": "501-274-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHOR FAMILY PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-13",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "ACHOR",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-274-1130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "234295407",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "PD13065",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE RETAIL PHARMACY LICENSE",
            "identifier": "AR20908",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACHOR FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maumelle, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.

Verify at the official NPI Registry.