Active NPI
South Arkansas Oil Co
Doing business as Midsouth Pharmacy
- Institutional Pharmacy
- El Dorado, AR
National Provider Identifier
1861438772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Institutional Pharmacy
- License
- AR20347
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1269221 | Medicaid | AR | |
| 179135407 | Medicaid | AR | |
| 1989425 | Other | PK |
Other names 1
- MIDSOUTH PHARMACY
National Provider Directory
National Provider DirectoryLocations
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.
-
- Addiction (Substance Use Disorder) Counselor
- Monroe, LA
- NPI 1003561846
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
- South Arkansas Emergency Physicians LLP (Arkansas Hospitalist Physicians LLP)
- South Arkansas Emergency Physicians LLP
- South Arkansas Eye Clinic PLLC
- South Arkansas Medical Associates Idtf (SAMA HealthCare Services IDTF)
- South Arkansas Medical Associates PLLC (SAMA HealthCare Services)
- South Arkansas Open MRI LLC
- South Arkansas Oral Surgery and Implant Center
- South Arkansas Orthopaedics and Sports Medicine Center PLLC (South Arkansas Orthopaedics)
- South Arkansas Pharmacy, Inc (SAMA Clinic Pharmacy)
- South Arkansas Physician Group LLC
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.