Bella Vista Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

AR11950 Issued in AR

Legal business name

BELLA VISTA PHARMACY, INC

Practice address

408 Town Ctr NE
Bella Vista, AR 72714-1817

Phone

(479) 855-3791

Fax

(479) 876-5881

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Tanner B Bedwell

Title

Treasurer, Pharmtech

Phone

(479) 855-3791

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robin Renee Ritter, RPH

  • Pharmacist
  • Bella Vista, AR
  • NPI 1427114644
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1841336765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 TOWN CTR NE",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727141817",
            "telephone_number": "479-855-3791",
            "fax_number": "479-876-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 TOWN CTR NE",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727141817",
            "telephone_number": "479-855-3791",
            "fax_number": "479-876-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA VISTA PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "BEDWELL",
        "authorized_official_first_name": "TANNER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "TREASURER, PHARMTECH",
        "authorized_official_telephone_number": "479-855-3791",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR11950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "10641",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bella Vista Ambulance Services, Inc.
• Bella Vista Back Center PA
• Bella Vista Counseling
• Bella Vista Healthcare LLC
• Bella Vista Hearing Center PLLC
• James M Billis, D.C.
• Jason Blackketter, D.C.
• Linda Lou Boen
• Courtney Selck Book, M.D.
• Stephanie Jane Brackeen, LMT

• 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 Oct 13, 2009; 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.