Chester Lee Barber Jr., P.D.
Individual provider Active NPI Pharmacist · De Queen, AR
NPI 1972610293 · NPPES record last updated Feb 2, 2009
Key facts
- NPI
- 1972610293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PD07169 (AR)
- Practice address
- 1357 W Collin Raye Dr
De Queen, AR 71832-2946 - Phone
- (870) 642-2400
- Fax
- (870) 642-5526
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD07169 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| De Queen Health and Wellness Pharmacy LLC | Current | Accepting new patients | |
| De Queen Health and Wellness Pharmacy LLC | Current | Accepting new patients |
Locations
1357 W Collin Raye Dr
De Queen, AR 71832
Phone (870) 642-2000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD07169 | AR | Yes |
Addresses
Primary practice location
1357 W Collin Raye Dr
De Queen, AR 71832-2946
Mailing address
1357 W Collin Raye Dr
De Queen, AR 71832-2946
Phone (870) 642-2400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164404716 | Medicaid | AR | |
| 155535407 | Medicaid | AR | |
| 0421026 | Other | NCPDP NUMBER | |
| 200018110A | Medicaid | OK |
Other providers in De Queen, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.