Individual provider Active NPI

Andrew Mize, PHARM.D.

  • Pharmacist
  • Rogers, AR
National Provider Identifier
1891199691
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PD11643 Issued in AR
Practice address
5403 W Pinnacle Pointe Dr
Rogers, AR 72758-8118
Phone
(479) 271-6300
Fax
(479) 271-6305
NPI assigned
Oct 22, 2014
Last updated
Jun 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PD11643 AR Primary

Addresses

Primary practice location

5403 W Pinnacle Pointe Dr
Rogers, AR 72758-8118

Mailing address

5403 W Pinnacle Pointe Dr
Rogers, AR 72758-8118
Phone (479) 271-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PD11643ARMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Debbies Family Pharmacy Inc CurrentSince Jun 21, 2020 Accepting new patients
Debbie's Family Pharmacy, Inc. CurrentSince Jun 21, 2020 Accepting new patients
Collier Drug Stores Inc Past Accepting new patients

Locations

5403 W Pinnacle Pointe Dr
Rogers, AR 72758
Phone (479) 254-8900

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1891199691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5403 W PINNACLE POINTE DR",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588118",
            "telephone_number": "479-271-6300",
            "fax_number": "479-271-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5403 W PINNACLE POINTE DR",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588118",
            "telephone_number": "479-271-6300",
            "fax_number": "479-271-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZE",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-22",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD11643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.