PEDIATRIC NUTRITION PROV OF AR
NPI 1477598795
Pharmacy - Long Term Care Pharmacy in Benton, AR
NPI Status: Active since June 19, 2006
Contact Information
920 EDISON AVE
STE 9
BENTON, AR
ZIP 72015
Phone: (501) 315-7337
Fax: (501) 778-7488
- Organization
- Pharmacy
- Long Term Care Pharmacy
About PEDIATRIC NUTRITION PROV OF AR
This page provides the complete NPI Profile along with additional information for Pediatric Nutrition Prov Of Ar, a provider established in Benton, Arkansas operating as a Pharmacy, focusing in long term care pharmacy . The healthcare provider is registered in the NPI registry with number 1477598795 assigned on June 2006. The practitioner's primary taxonomy code is 3336L0003X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's
- NPI
- 1477598795
- Provider Legal Name
- PEDIATRIC NUTRITION PROV OF AR
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 920 EDISON AVE STE 9 BENTON, AR 72015
- Location Phone
- (501) 315-7337
- Location Fax
- (501) 778-7488
- Mailing Address
- 920 EDISON AVE STE 9 BENTON, AR 72015
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-19-2006
- Last Update Date
- 09-11-2025
- Code Navigator
Location Map
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 Long Term Care Pharmacy
- Taxonomy Code
- 3336L0003X
- Type
- Suppliers
- Taxonomy Description
- 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.
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) |
|---|---|---|---|---|
| 1 | 333600000X | Suppliers | Pharmacy | AR20528 (AR) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0422357 | OTHER (01) | OTHER ID NUMBER-COMMERCIAL NUMBER |
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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 1477598795, we treat the final digit (5) 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 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 5).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 75 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
BENTON, AR 72015
BENTON, AR 72015
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477598795, enumerated as an "organization" on June 19, 2006.
The provider is located at 920 EDISON AVE STE 9 BENTON, AR 72015 and the phone number is (501) 315-7337.
Pharmacy with taxonomy code 3336L0003X and a focus in Long Term Care Pharmacy.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
