Active NPI
Whitehall Pharmacy LLC
- Community/Retail Pharmacy
- Star City, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
- Last updated
- Oct 8, 2025
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
500 S Lincoln Ave
Star City, AR 71667-5208
Mailing address
205 E 2ND Ave
Pine Bluff, AR 71601-4443
Phone (870) 628-4004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100607000269 | AR | Part B Supplier - Mass Immunization (Roster Biller Only) | 0840320537 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Star City, AR; White Hall, AR; Pine Bluff, AR |
| O20230505001048 | AR | Part B Supplier - Independent Clinical Laboratory | 0840320537 |
3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: White Hall, AR; Pine Bluff, AR; Star City, AR |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Doctors Orders Pharmacy #4
- Long Term Care Pharmacy
- Pine Bluff, AR
- NPI 1285349530
O20100607000269, O20230505001048
-
dba Doctor's Orders Pharmacy
- Community/Retail Pharmacy
- Pine Bluff, AR
- NPI 1447590146
O20230505001048
-
dba Doctor's Orders Pharmacy
- Community/Retail Pharmacy
- White Hall, AR
- NPI 1962636829
O20100607000269, O20230505001048
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Pine Bluff, AR
- NPI 1649676776
NPI Registry JSON
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": [],
"endpoints": [],
"other_names": []
}
Other providers in Star City, AR
Sources for this page
- 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.