EXPRESS RX OF HEBER SPRINGS (SCPG ARKANSAS LLC) NPI 1427473925

Pharmacy (Community/Retail Pharmacy) in Heber Springs, AR

NPI 1427473925 Organization Pharmacy Community/Retail Pharmacy

About EXPRESS RX OF HEBER SPRINGS (SCPG ARKANSAS LLC)

Express Rx Of Heber Springs (scpg Arkansas Llc) is a provider established in Heber Springs, Arkansas specializing in pharmacy (community/retail pharmacy) . The NPI number of Express Rx Of Heber Springs (scpg Arkansas Llc) is 1427473925 and was assigned on February 2014. The practitioner's primary taxonomy code is 3336C0003X with license number AR20740 (AR). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Express Rx Of Heber Springs. The authorized official of this NPI record is Galen Perkins (Ceo)

NPI

1427473925

Provider NameEXPRESS RX OF HEBER SPRINGS (SCPG ARKANSAS LLC)
Provider Location Address600 WEST MAIN STREET HEBER SPRINGS, AR 72543
Provider Mailing AddressPO BOX 34407 PMB 53760 LITTLE ROCK, AR 72203
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameEXPRESS RX OF HEBER SPRINGS
Other Name TypeDoing Business As (3)
Enumeration Date02-20-2014
Last Update Date01-19-2021


Primary Taxonomy

Taxonomy Code3336C0003X
ClassificationPharmacy
TypeSuppliers
SpecializationCommunity/Retail Pharmacy
License No.AR20740
License StateAR
Taxonomy DescriptionA pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Business Address

EXPRESS RX OF HEBER SPRINGS
600 WEST MAIN STREET
HEBER SPRINGS, AR
ZIP 72543
Phone: (501) 302-6010
Fax: (501) 206-0335

Get Directions


Mailing Address

EXPRESS RX OF HEBER SPRINGS
PO BOX 34407 PMB 53760
LITTLE ROCK, AR
ZIP 72203
Phone: (501) 603-7409
Fax: (870) 246-6616



Authorized Official

Authorized Official Name GALEN PERKINS
Authorized Official TitleCEO
Authorized Official Phone(501) 259-4399

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
13336I0012XSuppliersPharmacyInstitutional PharmacyNo

Taxonomy Description: a pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
130417407MEDICAID (05)AR
2144360OTHER (01)

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.