Medi Shop Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

AR20383 Issued in AR

Legal business name

MEDI SHOP PHARMACY

Doing business as

Medi Shop Pharmacy

Practice address

204 Highway 71 S
Mena, AR 71953-4638

Phone

(479) 394-3254

Fax

(479) 394-0235

NPI assigned

Nov 28, 2011

Organization subpart

No

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

Authorized official

Name

Robert Geyer, PHARM.D.NPI 1578801759

Title

Pharmacist

Phone

(479) 394-7476

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Medi Shop Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Practitioners 1

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

• Robert H Geyer Jr., PHARM.D.

  • Pharmacist
  • Mena, AR
  • NPI 1578801759
  NPD Authorized official

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1922375559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 HIGHWAY 71 S",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719534638",
            "telephone_number": "479-394-3254",
            "fax_number": "479-394-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 HIGHWAY 71 S",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719534638",
            "telephone_number": "479-394-3254",
            "fax_number": "479-394-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI SHOP PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-28",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "GEYER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "479-394-7476",
        "authorized_official_credential": "PHARM.D."
    },
    "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": "AR20383",
            "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": "190453407",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2133056",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medi Shop Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharon McGee, MHPP
• Aaron McLellan, LPC
• Cynthia McLellan, LCSW
• James Robert McWilliams, ANP
• Med Southwest, PLLC
• Medical Group of the Ozarks LLC
• Mena Center for Womens Health, PA
• Mena Dialysis Center LLC
• Mena Eye Care
• Mena Family Health Center

• Community/Retail Pharmacy in Mena, AR
• Providers in Mena, 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 Mar 17, 2017; 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.