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SOUTHSIDE SPECIALTY PHARMACY
NPI 1194186056
Pharmacy - Clinic Pharmacy in Fort Smith, AR

Active since March 18, 2016
3416 OLD GREENWOOD RD STE A, FORT SMITH, AR 72903(479) 242-2888(479) 242-2889 Get Directions Write a Review

NPPES record last updated: March 18, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southside Specialty Pharmacy NPPES

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

SOUTHSIDE SPECIALTY PHARMACY (NPI 1194186056) is a healthcare organization registered as a clinic pharmacy in Fort Smith, Arkansas and active in the NPI registry since March 2016. The organization lists Ihab Herraka, President, as its authorized official.

NPPES Registry Identity

NPI1194186056
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameARKANSAS LIVER AND GASTROENTEROLOGY, PA
Location Address3416 OLD GREENWOOD RD STE AFort Smith, AR 72903-5462
Mailing Address3416 Old Greenwood Rd Ste AFort Smith, AR 72903-5462 · (479) 242-2888 · Fax (479) 242-2889
Phone(479) 242-2888
Fax(479) 242-2889
Organization SubpartNo
Authorized OfficialIhab HerrakaPresident · (479) 242-2888
Enumeration DateMarch 18, 2016
✔ NPI 1194186056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
License✔ Licensed in AR · AR20829
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.
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X · License AR20829 (AR)
Also ListedPharmacy · Mail Order PharmacyTaxonomy 3336M0002X · License AR20829 (AR)
3416 OLD GREENWOOD RD STE A, Fort Smith, AR 72903
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Other Names 1

Doing Business AsSouthside Specialty Pharmacy

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 Arkansas Liver And Gastroenterology, PA's NPI number?

The NPI number for Arkansas Liver And Gastroenterology, PA is 1194186056. It was assigned to this organization in the NPPES registry on March 18, 2016. The provider is doing business as Southside Specialty Pharmacy.

Where is Arkansas Liver And Gastroenterology, PA located?

Arkansas Liver And Gastroenterology, PA is located at 3416 Old Greenwood Rd Ste A, Fort Smith, AR 72903. The listed phone number is (479) 242-2888.

What is Arkansas Liver And Gastroenterology, PA'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 Arkansas Liver And Gastroenterology, PA was last updated on March 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.