SOUTHSIDE SPECIALTY PHARMACY (NPI# 1497114144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497114144 |
| Entity Type | Organization |
| Organization Name | SOUTHSIDE SPECIALTY PHARMACY |
| Practice Address |
3416 Old Greenwood Rd Suite A Fort Smith AR 72903-5462 |
| Practice Telephone | 4792422888 |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2016-02-22 |
| Authorized Official Name | IHAB HERRAKA (MD/OWNER) |
| Authorized Official Telephone | 4792422888 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
AR20829 | AR | Suppliers |
| Street Address |
3416 OLD GREENWOOD RD SUITE A |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72903-5462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366464711 | James T Howell | Allergy & Immunology | 3416 Old Greenwood Rd, Fort Smith, AR 72903-5462 | 2006-07-24 |
| 1912514936 | Regenia Kaye Hilton | Nurse Practitioner | 3416 Old Greenwood Rd, Fort Smith, AR 72903-5462 | 2020-09-24 |
| 1205296043 | Arkansas Liver and Gastroenterology | Pharmacy | 3416 Old Greenwood Rd, Suite A, Fort Smith, AR 72903-5462 | 2016-03-04 |
| 1932586260 | Arkansas Liver and Gastroenterology Pa | Clinic/Center | 3416 Old Greenwood Rd, Fort Smith, AR 72903-5462 | 2015-05-06 |
| 1447640222 | Herraka LLC | Pharmacist | 3416 Old Greenwood Rd, Fort Smith, AR 72903-5462 | 2015-01-30 |
| 1104225317 | Joann Mahan | Registered Nurse | 3416 Old Greenwood Rd, Fort Smith, AR 72903-5462 | 2014-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285280016 | Bhg L, LLC | Clinic/Center | 1501 Waldron Road, Ste 203, Fort Smith, AR 72903 | 2019-08-16 |
| 1457905903 | Heather Snyder | Optometrist | 1021 South Waldron Road, Fort Smith, AR 72903 | 2019-08-01 |
| 1083272223 | Pediatric Therapy Connections LLC | Clinic/Center | 7601 Westminister Pl, Fort Smith, AR 72903 | 2019-06-03 |
| 1073092821 | Baptist Health Services | Psychiatry & Neurology | 3808 Gary St Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1104305853 | Baptist Health Services | Family Medicine | 5428 Ellsworth Rd Ste A, Fort Smith, AR 72903 | 2018-08-13 |
| 1417436171 | Baptist Health Services | Pediatrics | 5428 Ellsworth Rd Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1558840421 | Baptist Health Services | Family Medicine | 3808 Gary St Ste A, Fort Smith, AR 72903 | 2018-08-10 |
| 1316434707 | Md Weight Loss and Wellness, LLC | Dietitian, Registered | 3416 Old Greenwood Road, Fort Smith, AR 72903 | 2018-04-20 |
| 1942695572 | Donna K Morgan | Counselor | 2408 S. 51st Court Suite G, Fort Smith, AR 72903 | 2015-03-31 |
| 1346658242 | Shelby Mural Esry | Dentist | 3200 Rogers Ave. Suite 111, Fort Smith, AR 72903 | 2014-07-24 |
| Find all providers in zip 72903 | ||||
| Taxonomy Code | 3336S0011X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Specialty Pharmacy |
| A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396984498 | Deans Pharmacies Inc | Pharmacy | 311 W Chestnut St, Marianna, AR 72360-2131 | 2009-02-12 |
| 1669495750 | Soos Compounding Center | Pharmacy | 512 Southwest Dr, Jonesboro, AR 72401-5857 | 2006-07-26 |
| 1760470520 | Healthcare Pharmacy, Inc. | Pharmacy | 3401 Atwood Rd, Suite F, Little Rock, AR 72206-6012 | 2005-10-06 |
| 1477998847 | University of Arkansas for Medical Sciences | Pharmacy | 1 Childrens Way # 512-10, Little Rock, AR 72202-3500 | 2013-04-30 |
| 1316213168 | Nh Enterprises, LLC | Pharmacy | 1201 E 35th St, Texarkana, AR 71854-2746 | 2012-03-27 |
| 1124313267 | Hot Springs Pharmacy, LLC | Pharmacy | 1200 Airport Rd, Hot Springs, AR 71913-5334 | 2011-06-16 |
| City | FORT SMITH |
| Zip Code | 72903 |
Please comment or provide details below to improve the information on SOUTHSIDE SPECIALTY PHARMACY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.