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PRESCRIPTION SHOP HAZEN LLC
NPI 1477688463
Pharmacy - Community/Retail Pharmacy in Hazen, AR

Active since February 22, 2007CLIA 04D2248585 · Waiver
202 SOUTH LIVERMORE, HAZEN, AR 72064(870) 255-4403(870) 255-3772 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prescription Shop Hazen Llc NPPES

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

PRESCRIPTION SHOP HAZEN LLC (NPI 1477688463), doing business as Prescription Shop, is a healthcare organization registered as a community/retail pharmacy in Hazen, Arkansas and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through January 13, 2028 and lists Preston Jett Jones, President, as its authorized official.

NPPES Registry Identity

NPI1477688463
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePRESCRIPTION SHOP HAZEN LLC
Location Address202 SOUTH LIVERMOREHazen, AR 72064-0507
Mailing AddressPo Box 507Hazen, AR 72064-0507 · (870) 255-4403 · Fax (870) 255-3772
Phone(870) 255-4403
Fax(870) 255-3772
Organization SubpartNo
Authorized OfficialPreston Jett JonesPresident · (870) 255-4403
Enumeration DateFebruary 22, 2007
Last NPPES UpdateJanuary 30, 2026
NPPES CertifiedJanuary 30, 2026
✔ NPI 1477688463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in AR · 7514
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.
202 SOUTH LIVERMORE, Hazen, AR 72064
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Other Names 2

Doing Business AsPrescription Shop
Doing Business AsThe Prescription Shop

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 04D2248585

Prescription Shop Hazen · Hazen, AR
Active · expires Jan 13, 2028
CLIA Number04D2248585
Laboratory TypePharmacy
Certificate Effective DateJanuary 14, 2026
Certificate Expiration DateJanuary 13, 2028
Laboratory DirectorJennifer Kelly
Laboratory Phone(870) 255-4403
Laboratory LocationPrescription Shop Hazen202 South Livermore, Hazen, AR 72064
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.
29 services28 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.
20 services19 patients

Other Providers at the Same Location NPPES

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

DR. JENNIFER KELLY PD
Pharmacist
202 SOUTH LIVERMORE
HAZEN, AR 72064
Prairie County (870) 255-4403

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 Prescription Shop Hazen LLC's NPI number?

The NPI number for Prescription Shop Hazen LLC is 1477688463. It was assigned to this organization in the NPPES registry on February 22, 2007. The provider is doing business as Prescription Shop and The Prescription Shop.

Where is Prescription Shop Hazen LLC located?

Prescription Shop Hazen LLC is located at 202 South Livermore, Hazen, AR 72064. The listed phone number is (870) 255-4403.

What is Prescription Shop Hazen LLC's specialty?

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

Does Prescription Shop Hazen LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2248585) is associated with this NPI, valid through January 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Prescription Shop Hazen LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 53 other insurers list Prescription Shop Hazen LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Prescription Shop Hazen LLC was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.