Organization Active NPI

South Arkansas Oil Co

Doing business as Midsouth Pharmacy

  • Institutional Pharmacy
  • El Dorado, AR
National Provider Identifier
1861438772
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
AR20347 Issued in AR
Legal business name
SOUTH ARKANSAS OIL CO
Doing business as
Midsouth Pharmacy
Practice address
2710 N West Ave
El Dorado, AR 71730-3124
Phone
(870) 864-0730
Fax
(870) 864-0522
NPI assigned
Jun 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Authorized official

Name
Alan Harper, RPH
Title
Pic
Phone
(870) 864-0730

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Institutional Pharmacy 3336I0012X AR20347 AR Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

2710 N West Ave
El Dorado, AR 71730-3124

Mailing address

PO Box 9830
Salt Lake City, UT 84109-9830
Phone (870) 864-0730

Other identifiers 3

IdentifierTypeStateIssuer
1269221MedicaidAR
179135407MedicaidAR
1989425OtherPK

Other names 1

  • MIDSOUTH PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

2710 N West Ave
El Dorado, AR 71730
Phone (870) 864-0730

3215 N West Ave
El Dorado, AR 71730
Phone (870) 864-0730

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1861438772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9830",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841099830",
            "telephone_number": "870-864-0730",
            "fax_number": "870-864-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 N WEST AVE",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717303124",
            "telephone_number": "870-864-0730",
            "fax_number": "870-864-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH ARKANSAS OIL CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "870-864-0730",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "AR",
            "license": "AR20347",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1269221",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179135407",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1989425",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIDSOUTH PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Dorado, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.