Whitehall Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

WHITEHALL PHARMACY LLC

Practice address

500 S Lincoln Ave
Star City, AR 71667-5208

Phone

(870) 628-4004

Fax

(870) 628-4004

NPI assigned

Sep 19, 2019

Organization subpart

No

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

Authorized official

Name

Floyd Lelan Stice

Title

Owner

Phone

(501) 442-4657

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR2 enrollments

Enrollment records 2

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
  • White Hall, AR
  • NPI 1962636829

  O20100607000269, O20230505001048

  Same enrollment

Locations

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1982254082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E 2ND AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716014443",
            "telephone_number": "870-628-4004",
            "fax_number": "870-628-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S LINCOLN AVE",
            "city": "STAR CITY",
            "state": "AR",
            "postal_code": "716675208",
            "telephone_number": "870-628-4004",
            "fax_number": "870-628-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITEHALL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-19",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "STICE",
        "authorized_official_first_name": "FLOYD",
        "authorized_official_middle_name": "LELAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-442-4657"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "236079407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul F Whipple, DO
• Amy Michelle White, N.P.
• Larry White, BA
• Tammy Renee White, PHARM.D.
• Whitehall Pharmacy LLC
• McKenna M Wilkerson, APRN
• Brittany L Wilkins, BS
• Leah Jacks Williams, APRN
• Yolanda Williams
• Mellorya Lynn Wynn Bullard, DC

• Community/Retail Pharmacy in Star City, AR
• Providers in Star City, 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 Oct 8, 2025; 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.