Whitehall Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

AR20608 Issued in AR

Legal business name

WHITEHALL PHARMACY LLC

Practice address

7240 Sheridan Rd Ste 102
White Hall, AR 71602-3272

Phone

(870) 850-8010

Fax

(870) 850-8014

NPI assigned

May 7, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Floyd Lelan Stice, PD, MBA

Title

Vice President

Phone

(870) 850-8010

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Doctor's Orders Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in AR2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Whitehall Pharmacy LLC

  • Long Term Care Pharmacy
  • Pine Bluff, AR
  • NPI 1285349530

  0840320537

  Same PAC ID
• Whitehall Pharmacy LLC

  • Community/Retail Pharmacy
  • Pine Bluff, AR
  • NPI 1447590146

  0840320537

  Same PAC ID

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Whitehall Pharmacy LLC

  • Long Term Care Pharmacy
  • Pine Bluff, AR
  • NPI 1285349530

  O20100607000269, O20230505001048

  Same enrollment
• Whitehall Pharmacy LLC

  • Community/Retail Pharmacy
  • Pine Bluff, AR
  • NPI 1447590146

  O20230505001048

  Same enrollment
• Whitehall Pharmacy LLC

  • Community/Retail Pharmacy
  • Star City, AR
  • NPI 1982254082

  O20100607000269, O20230505001048

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1962636829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7240 SHERIDAN RD STE 102",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716023272",
            "telephone_number": "870-850-8010",
            "fax_number": "870-850-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7240 SHERIDAN RD STE 102",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716023272",
            "telephone_number": "870-850-8010",
            "fax_number": "870-850-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITEHALL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-07",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "STICE",
        "authorized_official_first_name": "FLOYD",
        "authorized_official_middle_name": "LELAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "870-850-8010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PD, MBA"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR20608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS STATE BOARD OF PHARMACY",
            "identifier": "AR20608",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177297407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctor's Orders Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Doctor's Orders Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• White Hall School District
• White Hall Walk in Clinic PA
• Autumn Lynn White, FNP-C
• Kellisha White, MHPP
• Whitehall Pharmacy LLC
• Ricky Whitmore, QBHP
• Timothee Trevevant Wilkin, D.O., P.A.
• Karah Williams, MHPP
• T'Aja Williams, QBHP
• Kelvlyn Wimbley, PLMSW

• Community/Retail Pharmacy in White Hall, AR
• Providers in White Hall, 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 Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.