Landmark Pharmacy, LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

AR20072 Issued in AR

Legal business name

LANDMARK PHARMACY, LLC

Practice address

3401 Atwood Rd
Suite E
Little Rock, AR 72206-6012

Phone

(501) 888-2223

Fax

(501) 888-7504

NPI assigned

Jan 18, 2007

Reactivated

Mar 4, 2021

Last updated

Feb 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert W Stephens

Title

Cfo

Phone

(501) 681-2068

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Tax ID family

Landmark Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Landmark Pharmacy, LLC

  • Long Term Care Pharmacy
  • Little Rock, AR
  • NPI 1356299853
  NPD tax ID

Practitioners 2

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.

• Loyd Barry Bultena, P.D.

  • Pharmacist
  • Little Rock, AR
  • NPI 1700501228
  NPD
• Rachael Lynette Hudman, PHARMD

  • Pharmacist
  • Little Rock, AR
  • NPI 1851944698
  NPD

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1851443774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 ATWOOD RD",
            "address_2": "SUITE E",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722066012",
            "telephone_number": "501-888-2223",
            "fax_number": "501-888-7504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 ATWOOD RD",
            "address_2": "SUITE E",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722066012",
            "telephone_number": "501-888-2223",
            "fax_number": "501-888-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "deactivation_date": "2021-02-03",
        "reactivation_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "501-681-2068"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AR",
            "license": "AR20072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100352407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruth Elizabeth Landers, APN, CPNP
• Robert C. Landgren, M.D.
• Landmark Dental Center (Tara Pappas Scallion DDS PA)
• Landmark Medical of Arkansas PA
• Landmark Pharmacy, LLC
• Hannah Landreth, M.D.
• Alicia Landrum, LPC
• Brittany Landrum, MHPP
• Matthew R Landrum, M.D.
• Micah Lands

• Pharmacy in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.