FOUNTAIN LAKE FAMILY PHARMACY LLC
NPI 1164081071
Pharmacy in Hot Springs, AR

Active since June 13, 2019
4517 PARK AVE, SUITE B, HOT SPRINGS, AR 71901(501) 547-3400(844) 805-7790 Get Directions Write a Review

NPPES record last updated: July 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2020, Feb 19, 2020, Jun 13, 2019 (3 updates tracked since 2019).

About Fountain Lake Family Pharmacy Llc NPPES

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

FOUNTAIN LAKE FAMILY PHARMACY LLC (NPI 1164081071) is a healthcare organization registered as a pharmacy in Hot Springs, Arkansas and active in the NPI registry since June 2019. The organization lists Michael David Butler, Owner, as its authorized official.

NPPES Registry Identity

NPI1164081071
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameFOUNTAIN LAKE FAMILY PHARMACY LLC
Location Address4517 PARK AVE, SUITE BHot Springs, AR 71901
Mailing Address4517 Park Ave, Suite BHot Springs, AR 71901 · (501) 547-3400 · Fax (844) 805-7790
Fax(844) 805-7790
Organization SubpartNo
Authorized OfficialMichael David ButlerOwner · (501) 547-3400
Enumeration DateJune 13, 2019
Last NPPES UpdateJuly 21, 20203 updates tracked since enumeration
NPPES CertifiedJuly 21, 2020
NPI 1164081071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
4517 PARK AVE, Hot Springs, AR 71901

Accepted Insurance

Areas of Expertise CMS Part B claims

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.
13 services13 patients

Other Providers at the Same Location NPPES 8

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

Family Medicine
4517 PARK AVE
HOT SPRINGS, AR 71901
Family Medicine
4517 PARK AVE
HOT SPRINGS, AR 71901
Nurse Practitioner (Family)
4517 PARK AVE
HOT SPRINGS, AR 71901
Licensed Practical Nurse
4517 PARK AVE
HOT SPRINGS, AR 71901
Family Medicine
4517 PARK AVE
HOT SPRINGS, AR 71901
Family Medicine
4517 PARK AVE
HOT SPRINGS, AR 71901
Nurse Practitioner (Family)
4517 PARK AVE
HOT SPRINGS, AR 71901
Pharmacy (Long Term Care Pharmacy)
4517 PARK AVE
HOT SPRINGS, AR 71901

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 Fountain Lake Family Pharmacy LLC's NPI number?

The NPI number for Fountain Lake Family Pharmacy LLC is 1164081071. It was assigned to this organization in the NPPES registry on June 13, 2019.

Where is Fountain Lake Family Pharmacy LLC located?

Fountain Lake Family Pharmacy LLC is located at 4517 Park Ave Suite B, Hot Springs, AR 71901. The listed phone number is (501) 547-3400.

What is Fountain Lake Family Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

What insurance does Fountain Lake Family Pharmacy 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 Fountain Lake Family Pharmacy 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 Fountain Lake Family Pharmacy LLC was last updated on July 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.