Organization Active NPI

Pharmacy Specialties Group (Inc)

  • Community/Retail Pharmacy
  • Fort Smith, AR
National Provider Identifier
1992134381
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
AR20733 Issued in AR
Legal business name
PHARMACY SPECIALTIES GROUP (INC)
Practice address
12110 Highway 71 S # a
Fort Smith, AR 72916-8405
Phone
(479) 648-0000
Fax
(479) 434-6100
NPI assigned
Nov 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Ahmad AlzufariNPI 1871870006
Title
President
Phone
(479) 648-0000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X AR20733 AR Primary
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

12110 Highway 71 S # a
Fort Smith, AR 72916-8405

Mailing address

12110 Highway 71 S # a
Fort Smith, AR 72916-8405
Phone (479) 648-0000

Other identifiers 2

IdentifierTypeStateIssuer
2142831OtherPK
200354407MedicaidAR

Other names 2

  • PSG PHARMACY Doing business as
  • Pharmacy Specialties Group ( PSG ) Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141016001669 AR Part B Supplier - Mass Immunization (Roster Biller Only) 6406088103 Practice locations: Fort Smith, AR

National Provider Directory

National Provider Directory

Locations

12110 Highway 71 S
Ste A
Fort Smith, AR 72916
Phone (479) 648-0000

12110 Highway 71 S
#A
Fort Smith, AR 72916
Phone (479) 648-0000

12110 Highway 71 S
Fort Smith, AR 72916
Phone (479) 648-0000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1992134381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12110 HIGHWAY 71 S # A",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729168405",
            "telephone_number": "479-648-0000",
            "fax_number": "479-434-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12110 HIGHWAY 71 S # A",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729168405",
            "telephone_number": "479-648-0000",
            "fax_number": "479-434-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY SPECIALTIES GROUP (INC)",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-06",
        "last_updated": "2025-09-19",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "ALZUFARI",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-648-0000"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR20733",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2142831",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200354407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PSG PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pharmacy Specialties Group ( PSG )",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.