Active NPI
Southern Health and Wellness, Inc
- Community/Retail Pharmacy
- Marked Tree, AR
National Provider Identifier
1992221287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- AR04575
- Legal business name
- SOUTHERN HEALTH AND WELLNESS, INC
- Practice address
- 203 Newsome Dr Ste a
Marked Tree, AR 72365-2018 - Phone
- (870) 358-2135
- Fax
- (870) 358-4055
- NPI assigned
- Aug 17, 2017
- 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
- Dr. Kyle Andrew Lomax, PHARM. D.
- Title
- President
- Phone
- (870) 275-9496
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | AR04575 | AR | Primary |
Addresses
Primary practice location
203 Newsome Dr Ste a
Marked Tree, AR 72365-2018
Mailing address
3005 Apache Dr
Jonesboro, AR 72401-7432
Phone (870) 275-9496
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992221287 | Other | NCPDP | |
| AR04575 | Other | AR | ARKANSAS STATE BOARD OF PHARMACY |
Other names 1
- Southern Pharmacy of Arkansas
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201203002720 | AR | Part B Supplier - Pharmacy | 7810308327 |
5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Marked Tree, AR; Lepanto, AR; Jonesboro, AR |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Community/Retail Pharmacy
- Leachville, AR
- NPI 1184222473
O20201203002720
-
- Community/Retail Pharmacy
- Monette, AR
- NPI 1366453946
O20201203002720
-
- Community/Retail Pharmacy
- Jonesboro, AR
- NPI 1639180219
O20201203002720
-
- Community/Retail Pharmacy
- Lepanto, AR
- NPI 1952530248
O20201203002720
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D2154527 | Southern Pharmacy of Arkansas | Certificate of waiver | Sep 13, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Monette Discount Drug Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Jonesboro, AR
- NPI 1487222147
-
- Community/Retail Pharmacy
- Lepanto, AR
- NPI 1952530248
Locations
203 Newsome Dr
Ste A
Marked Tree, AR 72365
Phone (870) 358-2135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502928000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761955200000",
"number": "1992221287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3005 APACHE DR",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724017432",
"telephone_number": "870-275-9496",
"fax_number": "870-455-0714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 NEWSOME DR STE A",
"city": "MARKED TREE",
"state": "AR",
"postal_code": "723652018",
"telephone_number": "870-358-2135",
"fax_number": "870-358-4055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN HEALTH AND WELLNESS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-17",
"last_updated": "2025-11-01",
"certification_date": "2025-11-01",
"status": "A",
"authorized_official_last_name": "LOMAX",
"authorized_official_first_name": "KYLE",
"authorized_official_middle_name": "ANDREW",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "870-275-9496",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARM. D."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "AR",
"license": "AR04575",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "1992221287",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARKANSAS STATE BOARD OF PHARMACY",
"identifier": "AR04575",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Southern Pharmacy of Arkansas",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Marked Tree, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.