Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PPG STORE 4, LLC
NPI 1093257420
Pharmacy - Community/Retail Pharmacy in Mountain Home, AR

Q: What is Ppg Store 4, LLC's NPI number?

The NPI number for Ppg Store 4, LLC is 1093257420. It was assigned to this organization in the NPPES registry on November 16, 2016. The provider is doing business as Heartland Pharmacy Mountain Home.

Q: What is Ppg Store 4, LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ppg Store 4, LLC was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days 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.

Active since November 16, 2016

128 N COLLEGE ST, MOUNTAIN HOME, AR 72653(870) 425-2221(870) 424-3332 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ppg Store 4, Llc NPPES

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

PPG STORE 4, LLC (NPI 1093257420), doing business as Heartland Pharmacy Mountain Home, is a healthcare organization registered as a community/retail pharmacy in Mountain Home, Arkansas and active in the NPI registry since November 2016. The organization lists Zach Holderfield, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1093257420

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NamePPG STORE 4, LLC

Location Address128 N COLLEGE STMountain Home, AR 72653-3652

Mailing AddressPo Box 8070Fayetteville, AR 72703-0001

Phone(870) 425-2221

Fax(870) 424-3332

Organization SubpartNo

Authorized OfficialZach HolderfieldPharmacist · (479) 387-3096

Enumeration DateNovember 16, 2016

Last NPPES UpdateJune 29, 2026

NPPES CertifiedJune 29, 2026

✔ NPI 1093257420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

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.

128 N COLLEGE ST, Mountain Home, AR 72653

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Other Names 1

Doing Business AsHeartland Pharmacy Mountain Home

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 ›

Areas of Expertise CMS Part B claims 2

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.

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.

138 services136 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

134 services132 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 Ppg Store 4, LLC's NPI number?

The NPI number for Ppg Store 4, LLC is 1093257420. It was assigned to this organization in the NPPES registry on November 16, 2016. The provider is doing business as Heartland Pharmacy Mountain Home.

Where is Ppg Store 4, LLC located?

Ppg Store 4, LLC is located at 128 N College St, Mountain Home, AR 72653. The listed phone number is (870) 425-2221.

What is Ppg Store 4, LLC's specialty?

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

What insurance does Ppg Store 4, LLC 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 52 other insurers list Ppg Store 4, LLC 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 Ppg Store 4, LLC was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days 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.