Foreman Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

AR20353 Issued in AR

Legal business name

FOREMAN PHARMACY INC

Doing business as

Foreman Pharmacy

Practice address

106 Schuman St
Foreman, AR 71836

Phone

(870) 542-6544

Fax

(870) 542-7525

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Kenneth Wattenbarger

Title

President/Owner

Phone

(870) 542-6544

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• FOREMAN PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319932800000",
    "number": "1841373990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86",
            "city": "FOREMAN",
            "state": "AR",
            "postal_code": "718360086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 SCHUMAN ST",
            "city": "FOREMAN",
            "state": "AR",
            "postal_code": "71836",
            "telephone_number": "870-542-6544",
            "fax_number": "870-542-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREMAN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2011-10-30",
        "status": "A",
        "authorized_official_last_name": "WATTENBARGER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "870-542-6544"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR20353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149077407",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0402797",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOREMAN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Whitley Nicole Caskey, LPN
• Sonja Renee Cowan
• Lydia Christene Dickson
• Shelly Rae Eastridge, APRN-CNP
• Joy Ann Ferrier, APRN, FNP-BC
• Foreman School District #25
• Travis Frinzell
• Kayla Bell Jackson, OTR/L
• Haley Elizabeth Nelson, M.S., CCC-SLP
• Kristen Russell, FNP-C

• Community/Retail Pharmacy in Foreman, AR
• Providers in Foreman, 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 30, 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.