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MALVERN FAMILY PHARMACY LLC
NPI 1467129825
Pharmacy - Community/Retail Pharmacy in Malvern, AR

Active since August 24, 2021
902 MARTIN LUTHER KING BLVD, MALVERN, AR 72104(501) 732-7950 Get Directions Write a Review

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Malvern Family Pharmacy Llc NPPES

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

MALVERN FAMILY PHARMACY LLC (NPI 1467129825) is a healthcare organization registered as a community/retail pharmacy in Malvern, Arkansas and active in the NPI registry since August 2021. The organization lists Todd Beagle, Pharmacy Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1467129825
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMALVERN FAMILY PHARMACY LLC
Location Address902 MARTIN LUTHER KING BLVDMalvern, AR 72104-2217
Mailing Address902 Martin Luther King BlvdMalvern, AR 72104-2217 · (501) 732-7950
Phone(501) 732-7950
Organization SubpartNo
Authorized OfficialTodd BeaglePharmacy Operations Manager · (309) 642-2620
Enumeration DateAugust 24, 2021
NPPES CertifiedAugust 24, 2021
✔ NPI 1467129825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A 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.
902 MARTIN LUTHER KING BLVD, Malvern, AR 72104
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Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Malvern Family Pharmacy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateArkansasEnrollment IDO20220119001371Non-DME Part B · Mass Immunization (Roster Biller Only)Due dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

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 Malvern Family Pharmacy LLC's NPI number?

The NPI number for Malvern Family Pharmacy LLC is 1467129825. It was assigned to this organization in the NPPES registry on August 24, 2021.

Where is Malvern Family Pharmacy LLC located?

Malvern Family Pharmacy LLC is located at 902 Martin Luther King Blvd, Malvern, AR 72104. The listed phone number is (501) 732-7950.

What is Malvern Family Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Is Malvern Family Pharmacy LLC enrolled in Medicare?

Yes. Malvern Family Pharmacy LLC is registered in the Medicare PECOS enrollment system.

When is Malvern Family Pharmacy LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arkansas, Mass Immunization (Roster Biller Only)) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Malvern Family Pharmacy LLC was last updated on August 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.