Organization Active NPI

WPM Community Pharmacies, LLC

Doing business as Allcare Pharmacy

  • Community/Retail Pharmacy
  • Texarkana, AR
National Provider Identifier
1972908127
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
AR00387 Issued in AR
Legal business name
WPM COMMUNITY PHARMACIES, LLC
Doing business as
Allcare Pharmacy
Practice address
113 East St
Texarkana, AR 71854-6303
Phone
(870) 773-6789
Fax
(870) 772-0696
NPI assigned
Oct 30, 2014
Last updated
Dec 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Authorized official

Name
W Percy Malone
Title
President & Ceo
Phone
(870) 246-5553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X AR00387 AR Primary

Addresses

Primary practice location

113 East St
Texarkana, AR 71854-6303

Mailing address

PO Box 524
Arkadelphia, AR 71923-0524
Phone (870) 246-5553

Other identifiers 2

IdentifierTypeStateIssuer
0400387OtherNCPDP
100630407MedicaidAR

Other names 1

  • Allcare Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Allcare Pharmacy8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

113 East St
Texarkana, AR 71854
Phone (870) 773-6789

NPI Registry JSON

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417737600000",
    "number": "1972908127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 524",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719230524",
            "telephone_number": "870-246-5553",
            "fax_number": "870-245-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 EAST ST",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718546303",
            "telephone_number": "870-773-6789",
            "fax_number": "870-772-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WPM COMMUNITY PHARMACIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-12-05",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "W",
        "authorized_official_middle_name": "PERCY",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "870-246-5553"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR00387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0400387",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100630407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allcare Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Texarkana, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; 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.