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MOUNTAIN HOME CHRISTIAN CLINIC, INC
NPI 1134097199
Pharmacy - Clinic Pharmacy in Mountain Home, AR

Active since October 29, 2025
421 W WADE AVE, MOUNTAIN HOME, AR 72653(870) 425-5010(870) 425-5010 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mountain Home Christian Clinic, Inc NPPES

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

MOUNTAIN HOME CHRISTIAN CLINIC, INC (NPI 1134097199) is a healthcare organization registered as a clinic pharmacy in Mountain Home, Arkansas and active in the NPI registry since October 2025. The organization lists Randall Fragoules, Pharmacist In Charge, as its authorized official.

NPPES Registry Identity

NPI1134097199
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameMOUNTAIN HOME CHRISTIAN CLINIC, INC
Location Address421 W WADE AVEMountain Home, AR 72653-4622
Mailing Address421 W Wade AveMountain Home, AR 72653-4622 · (870) 425-5010 · Fax (870) 425-5010
Phone(870) 425-5010
Fax(870) 425-5010
Organization SubpartNo
Authorized OfficialRandall FragoulesPharmacist In Charge · (870) 425-5010
Enumeration DateOctober 29, 2025
NPPES CertifiedOctober 29, 2025
✔ NPI 1134097199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
421 W WADE AVE, Mountain Home, AR 72653
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRANDI NICOLE SHARP APN
Clinical Nurse Specialist (Adult Health)
421 W WADE AVE
MOUNTAIN HOME, AR 72653
Baxter County (870) 424-5010

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 Mountain Home Christian Clinic, Inc's NPI number?

The NPI number for Mountain Home Christian Clinic, Inc is 1134097199. It was assigned to this organization in the NPPES registry on October 29, 2025.

Where is Mountain Home Christian Clinic, Inc located?

Mountain Home Christian Clinic, Inc is located at 421 W Wade Ave, Mountain Home, AR 72653. The listed phone number is (870) 425-5010.

What is Mountain Home Christian Clinic, Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

When was this NPI record last updated?

The NPPES record for Mountain Home Christian Clinic, Inc was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.