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

NPI Status: Active since March 18, 2016

Contact Information

3416 OLD GREENWOOD RD STE A
FORT SMITH, AR
ZIP 72903
Phone: (479) 242-2888
Fax: (479) 242-2889

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  • Organization
  • Pharmacy
  • Clinic Pharmacy

About SOUTHSIDE SPECIALTY PHARMACY

This page provides the complete NPI Profile along with additional information for Southside Specialty Pharmacy, a provider established in Fort Smith, Arkansas operating as a Pharmacy, focusing in clinic pharmacy . The healthcare provider is registered in the NPI registry with number 1194186056 assigned on March 2016. The practitioner's primary taxonomy code is 3336C0002X with license number AR20829 (AR). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Southside Specialty Pharmacy. The authorized official of this NPI record is Dr. Ihab Herraka M.d. (President)

NPI
1194186056
Provider Legal Name
ARKANSAS LIVER AND GASTROENTEROLOGY, PA
Other Organization Name
SOUTHSIDE SPECIALTY PHARMACY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3416 OLD GREENWOOD RD STE A FORT SMITH, AR 72903
Location Phone
(479) 242-2888
Location Fax
(479) 242-2889
Mailing Address
3416 OLD GREENWOOD RD STE A FORT SMITH, AR 72903
Mailing Phone
(479) 242-2888
Mailing Fax
(479) 242-2889
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-18-2016
Last Update Date
03-18-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Clinic Pharmacy

Taxonomy Code
3336C0002X
Type
Suppliers
License No.
AR20829
License State
AR
Taxonomy Description
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
13336C0003XSuppliers

Pharmacy
Community/Retail Pharmacy

AR20829 (AR)
23336M0002XSuppliers

Pharmacy
Mail Order Pharmacy

AR20829 (AR)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. IHAB HERRAKA M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(479) 242-2888

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1194186056, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
8
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
0
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 1 → 2 6 → 12 → 3 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 8 + 4 + 2 + 8 + 1 + 2 + 0 + 1 + 0 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1194186056.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194186056, enumerated as an "organization" on March 18, 2016.

The provider is located at 3416 OLD GREENWOOD RD STE A FORT SMITH, AR 72903 and the phone number is (479) 242-2888.

Pharmacy with taxonomy code 3336C0002X and a focus in Clinic Pharmacy.