PHARMACY OF SHANNON HILLS LLC
NPI 1407508765
Pharmacy in Mabelvale, AR

Q: What is Pharmacy Of Shannon Hills LLC's NPI number?

The NPI number for Pharmacy Of Shannon Hills LLC is 1407508765. It was assigned to this organization in the NPPES registry on January 18, 2022.

Q: What is Pharmacy Of Shannon Hills LLC's specialty?

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

Active since January 18, 2022CLIA 04D2253576 · Waiver

13907 HIGH RD, MABELVALE, AR 72103(501) 451-7715(501) 451-7761 Get Directions Write a Review

NPPES record last updated: May 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 6, 2022, Apr 18, 2022, Feb 2, 2022 and 1 more (4 updates tracked since 2022).

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About Pharmacy Of Shannon Hills Llc NPPES

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

PHARMACY OF SHANNON HILLS LLC (NPI 1407508765) is a healthcare organization registered as a pharmacy in Mabelvale, Arkansas and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through February 22, 2028 and lists Callie Bench, Owner/pharmacist In Charge, as its authorized official.

NPPES Registry Identity

NPI1407508765

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NamePHARMACY OF SHANNON HILLS LLC

Location Address13907 HIGH RDMabelvale, AR 72103-3212

Mailing Address13907 High RdMabelvale, AR 72103-3212 · (501) 451-7715 · Fax (501) 451-7761

Phone(501) 451-7715

Fax(501) 451-7761

Organization SubpartNo

Authorized OfficialCallie BenchOwner/pharmacist In Charge · (501) 451-7715

Enumeration DateJanuary 18, 2022

Last NPPES UpdateMay 6, 20224 updates tracked since enumeration

NPPES CertifiedMay 6, 2022

✔ NPI 1407508765 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.

13907 HIGH RD, Mabelvale, AR 72103

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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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2253576

Pharmacy Of Shannon Hills, The · Mabelvale, AR

Active · expires Feb 22, 2028

CLIA Number04D2253576

Laboratory TypePharmacy

Certificate Effective DateFebruary 23, 2026

Certificate Expiration DateFebruary 22, 2028

Laboratory DirectorCallie M. Bench

Laboratory Phone(501) 451-7715

Laboratory LocationPharmacy Of Shannon Hills, The13907 High Rd, Mabelvale, AR 72103

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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.

63 services63 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.

55 services55 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.

FRED'S STORES OF TENNESSEE INC

Pharmacy (Community/Retail Pharmacy)