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PEDIATRIC NUTRITION PROV OF AR
NPI 1477598795
Pharmacy - Long Term Care Pharmacy in Benton, AR

Active since June 19, 2006
920 EDISON AVE, STE 9, BENTON, AR 72015(501) 315-7337(501) 778-7488 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Pediatric Nutrition Prov Of Ar NPPES

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

PEDIATRIC NUTRITION PROV OF AR (NPI 1477598795), doing business as Access Pharmacy, is a healthcare organization registered as a long term care pharmacy in Benton, Arkansas and active in the NPI registry since June 2006. The organization lists Leonard Gray, Co Owner, as its authorized official.

NPPES Registry Identity

NPI1477598795
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NamePEDIATRIC NUTRITION PROV OF AR
Location Address920 EDISON AVE, STE 9Benton, AR 72015-4502
Mailing Address920 Edison Ave, Ste 9Benton, AR 72015-4502
Phone(501) 315-7337
Fax(501) 778-7488
Organization SubpartNo
Authorized OfficialLeonard GrayCo Owner · (901) 315-7337
Enumeration DateJune 19, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1477598795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Also ListedPharmacyTaxonomy 333600000X · License AR20528 (AR)
920 EDISON AVE, Benton, AR 72015
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Other Names 1

Doing Business AsAccess Pharmacy

Other Identifiers 1

Other0422357Other Id Number-commercial Number

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ACCESS PHARMACY
Pharmacy (Community/Retail Pharmacy)
920 EDISON AVE, SUITE 9
BENTON, AR 72015
Saline County (501) 315-2025
PEDIATRIC NUTRITION PROVIDER OF ARKANSAS
Durable Medical Equipment & Medical Supplies
920 EDISON AVE, SUITE 8
BENTON, AR 72015
Saline County (501) 315-7337
PEDIATRIC NUTRITION PROVIDER OF AR
Durable Medical Equipment & Medical Supplies (Parenteral & Enteral Nutrition)
920 EDISON AVE, SUITE #9
BENTON, AR 72015
Saline County (501) 315-7337

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 Pediatric Nutrition Prov Of Ar's NPI number?

The NPI number for Pediatric Nutrition Prov Of Ar is 1477598795. It was assigned to this organization in the NPPES registry on June 19, 2006. The provider is doing business as Access Pharmacy.

Where is Pediatric Nutrition Prov Of Ar located?

Pediatric Nutrition Prov Of Ar is located at 920 Edison Ave Ste 9, Benton, AR 72015. The listed phone number is (501) 315-7337.

What is Pediatric Nutrition Prov Of Ar's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

When was this NPI record last updated?

The NPPES record for Pediatric Nutrition Prov Of Ar was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.