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WEST SIDE PHARMACY
NPI 1013922541
Pharmacy - Community/Retail Pharmacy in Benton, AR

Active since July 31, 2006CLIA 04D2323398 · Waiver
620 WEST SOUTH STREET, BENTON, AR 72015(501) 778-3151(501) 778-7329 Get Directions Write a Review

NPPES record last updated: December 14, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 14, 2020, Oct 26, 2020, Jul 18, 2017 (3 updates tracked since 2017).

About West Side Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WEST SIDE PHARMACY (NPI 1013922541) is a healthcare organization registered as a community/retail pharmacy in Benton, Arkansas and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through May 5, 2027 and lists James Zackary Haley, Pharmacist In Charge, as its authorized official.

NPPES Registry Identity

NPI1013922541
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWEST SIDE PHARMACY INCORPORATED
Location Address620 WEST SOUTH STREETBenton, AR 72015
Mailing Address620 West South StreetBenton, AR 72015 · (501) 778-3151 · Fax (501) 778-7329
Phone(501) 778-3151
Fax(501) 778-7329
Organization SubpartNo
Authorized OfficialJames Zackary HaleyPharmacist In Charge · (501) 517-0227
Enumeration DateJuly 31, 2006
Last NPPES UpdateDecember 14, 20203 updates tracked since enumeration
NPPES CertifiedDecember 14, 2020
✔ NPI 1013922541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in AR · AR01745
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
620 WEST SOUTH STREET, Benton, AR 72015
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Other Names 1

Doing Business AsWest Side Pharmacy

Other Identifiers 4

Other0401745Ncpdp Provider Identification Number
Medicaid200054590AOK
Medicaid100097407AR
Medicaid027989700AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2323398

West Side Pharmacy Military Road · Benton, AR
Active · expires May 5, 2027
CLIA Number04D2323398
Laboratory TypePharmacy
Certificate Effective DateMay 6, 2025
Certificate Expiration DateMay 5, 2027
Laboratory DirectorIsabelle Reaves
Laboratory Phone(501) 778-3151
Laboratory LocationWest Side Pharmacy Military Road1525 Military Road, Benton, AR 72015
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 04D2153277

West Side Pharmacy Inc · Benton, AR
Expired · Aug 22, 2026
CLIA Number04D2153277
Laboratory TypePharmacy
Certificate Effective DateAugust 23, 2024
Certificate Expiration DateAugust 22, 2026
Laboratory DirectorMaddison Schuller
Laboratory Phone(501) 778-3151
Laboratory LocationWest Side Pharmacy Inc620 W South St, Benton, AR 72015
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
33 services33 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
33 services33 patients
Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home M0201
The Covid-19 vaccine can be administered at your home for convenience and safety. This service is reported once per home, per date, when only the vaccine is given. It's a straightforward process where a medical professional visits your home to give the vaccine.
31 services31 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is West Side Pharmacy Incorporated's NPI number?

The NPI number for West Side Pharmacy Incorporated is 1013922541. It was assigned to this organization in the NPPES registry on July 31, 2006. The provider is doing business as West Side Pharmacy.

Where is West Side Pharmacy Incorporated located?

West Side Pharmacy Incorporated is located at 620 West South Street, Benton, AR 72015. The listed phone number is (501) 778-3151.

What is West Side Pharmacy Incorporated's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does West Side Pharmacy Incorporated hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2323398) is associated with this NPI, valid through May 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does West Side Pharmacy Incorporated accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 51 other insurers list West Side Pharmacy Incorporated as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for West Side Pharmacy Incorporated was last updated on December 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.