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JEFFERSON REGIONAL MEDICAL CENTER
NPI 1851421861
Pharmacy - Community/Retail Pharmacy in Pine Bluff, AR

Active since March 07, 2007CLIA 04D1001560 · Accreditation
1600 W 40TH AVE, PINE BLUFF, AR 71603(870) 541-7100(870) 541-7499 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 7, 2023, Jul 16, 2019 (2 updates tracked since 2019).

About Jefferson Regional Medical Center NPPES

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

JEFFERSON REGIONAL MEDICAL CENTER (NPI 1851421861) is a healthcare organization registered as a community/retail pharmacy in Pine Bluff, Arkansas and active in the NPI registry since March 2007. The organization holds an CLIA Accreditation certificate valid through March 12, 2027 and lists Brian Thomas, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1851421861
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameJEFFERSON REGIONAL MEDICAL CENTER
Location Address1600 W 40TH AVEPine Bluff, AR 71603-6301
Mailing Address1600 W 40th AvePine Bluff, AR 71603-6301 · (870) 541-7100 · Fax (870) 541-7499
Phone(870) 541-7100
Fax(870) 541-7499
Organization SubpartNo
Authorized OfficialBrian ThomasPresident & Ceo · (870) 541-7214
Enumeration DateMarch 7, 2007
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1851421861 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 · AR05666
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.
1600 W 40TH AVE, Pine Bluff, AR 71603
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Other Identifiers 1

Medicaid100339407AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield 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 Accreditation 04D1001560

Jefferson Regional Medical Center Respiratory Department · Pine Bluff, AR
Active · expires Mar 12, 2027
CLIA Number04D1001560
Laboratory TypeHospital
Certificate Effective DateMarch 13, 2025
Certificate Expiration DateMarch 12, 2027
Laboratory DirectorMrs. Elizabeth Whitaker
Laboratory Phone(870) 541-7920
Laboratory LocationJefferson Regional Medical Center Respiratory Department1600 West 40th Avenue, Pine Bluff, AR 71603
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

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

MRS. REBEKAH A CROWDER MS, RD, LD, CDE
Dietitian, Registered
1600 W 40TH AVE
PINE BLUFF, AR 71603
Jefferson County (870) 541-3274
DR. MOHANNED HASSAN MOHAMMED AHMED M.D.
Family Medicine
1600 W 40TH AVE
PINE BLUFF, AR 71603
Jefferson County (870) 541-7100
NAZNIN JAMAL MD
Internal Medicine
1600 W 40TH AVE
PINE BLUFF, AR 71603
Jefferson County (870) 541-7100
CHRISTA CHAMBERS
Pharmacist
1600 W 40TH AVE
PINE BLUFF, AR 71603
Jefferson County (870) 541-7902
SHELLY R CAINE RN
Registered Nurse (Maternal Newborn)
1600 W 40TH AVE
PINE BLUFF, AR 71603
Jefferson County (870) 541-7100
VIBHA M PATEL PTA
Physical Therapy Assistant
1600 W 40TH AVE
PINE BLUFF, AR 71603
Jefferson County (870) 541-8776
ASHWINI POTHARAM
Student in an Organized Health Care Education/Training Program
1600 W 40TH AVE
PINE BLUFF, AR 71603
Jefferson County (870) 541-7100
MS. ASHLEIGH RYAN CULCLAGER
Student in an Organized Health Care Education/Training Program
1600 W 40TH AVE
PINE BLUFF, AR 71603
Jefferson County (870) 541-7100

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 Jefferson Regional Medical Center's NPI number?

The NPI number for Jefferson Regional Medical Center is 1851421861. It was assigned to this organization in the NPPES registry on March 7, 2007.

Where is Jefferson Regional Medical Center located?

Jefferson Regional Medical Center is located at 1600 W 40th Ave, Pine Bluff, AR 71603. The listed phone number is (870) 541-7100.

What is Jefferson Regional Medical Center's specialty?

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

Does Jefferson Regional Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 04D1001560) is associated with this NPI, valid through March 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jefferson Regional Medical Center accept?

Health plans from Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, AvMed and Blue Cross Blue Shield of North Dakota and 22 other insurers list Jefferson Regional Medical Center 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 Jefferson Regional Medical Center was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.