NPIMap

Organization Active NPI

Arkansas Methodist Hosp Phcy

  • Institutional Pharmacy
  • Paragould, AR
National Provider Identifier
1821371261
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
HP00079 Issued in AR
Legal business name
ARKANSAS METHODIST HOSP PHCY
Doing business as
Arkansas Methodist Hosp Phcy
Practice address
900 W Kingshighway
Paragould, AR 72450-5942
Phone
(870) 239-7861
Fax
(870) 239-7431
NPI assigned
Sep 22, 2011
Last updated
Sep 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Authorized official

Name
Stan Carmack, PHARMDNPI 1730881715
Title
Director of Pharmacy
Phone
(870) 239-7861

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
Institutional Pharmacy 3336I0012X HP00079 AR Primary

Addresses

Primary practice location

900 W Kingshighway
Paragould, AR 72450-5942

Mailing address

900 W Kingshighway
Paragould, AR 72450-5942
Phone (870) 239-7861

Other identifiers 1

IdentifierTypeStateIssuer
0408838OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • ARKANSAS METHODIST HOSP PHCY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Donald W Blair8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the 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": "1316649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1821371261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W KINGSHIGHWAY",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724505942",
            "telephone_number": "870-239-7861",
            "fax_number": "870-239-7431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W KINGSHIGHWAY",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724505942",
            "telephone_number": "870-239-7861",
            "fax_number": "870-239-7431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS METHODIST HOSP PHCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-22",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "CARMACK",
        "authorized_official_first_name": "STAN",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "870-239-7861",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "AR",
            "license": "HP00079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0408838",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARKANSAS METHODIST HOSP PHCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paragould, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.