Faith Venture Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

FAITH VENTURE PHARMACY INC

Practice address

20 Sugar Creek Ctr
Bella Vista, AR 72714-3507

Phone

(479) 876-6200

Fax

(479) 876-6287

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

Tom Crisler, RPH

Title

Owner Pharmacist

Phone

(479) 876-6200

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• MEDICAP PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1831254259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SUGAR CREEK CTR",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727143507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SUGAR CREEK CTR",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727143507",
            "telephone_number": "479-876-6200",
            "fax_number": "479-876-6287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH VENTURE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "CRISLER",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "479-876-6200",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AR",
            "license": "0420050",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0420050",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAP PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Feet Plus of Arkansas Inc
• Sarah Fellers
• Shane Ledrew Fink, LPTA
• Madison Forthman, PHARM D
• Jason Paul Frederick, RN

• Community/Retail Pharmacy in Bella Vista, AR
• Providers in Bella Vista, 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.