MIDSOUTH MEDICAL SPECIALTIES, LLC (NPI# 1558894790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558894790 |
| Entity Type | Organization |
| Organization Name | MIDSOUTH MEDICAL SPECIALTIES, LLC |
| Other Organization Name | OAK PARK PHARMACY |
| Practice Address |
105 Sawtooth Oak St Hot Springs AR 71901-7160 |
| Mailing Address |
185 W Center St Hernando MS 38632-2268 |
| Practice Telephone | 5016232222 |
| Mailing Telephone | 6624497876 |
| Mailing Fax Number | 6624497970 |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-04-05 |
| Authorized Official Name | EDWIN O'BANNON (CEO) |
| Authorized Official Telephone | 6624497876 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
AR20697 | AR | Suppliers |
| Other Name | Type Code |
|---|---|
| Oak Park Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215349667 | Midsouth Medical Specialties, LLC | Pharmacy | 5500 Central Avenue, Hot Springs, AR 71913 | 2014-05-20 |
| 1992139711 | Midsouth Medical Specialties, LLC | Pharmacy | 185 W Center St, Hernando, MS 38632-2268 | 2013-08-28 |
| 1255677001 | Midsouth Medical Specialties, LLC | Pharmacy | 2260 Highway 515 South, Hernando, MS 38632 | 2012-12-26 |
| 1215460688 | Midsouth Medical Specialties, LLC | Pharmacy | 1534 Malvern Ave, Hot Springs, AR 71901-6508 | 2017-04-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | MIDSOUTH MEDICAL SPECIALTIES, LLC | 200 Sterlin Lane, Hernando, Ms 38632 |
| Street Address |
105 SAWTOOTH OAK ST |
| City | HOT SPRINGS |
| State | AR |
| Zip Code | 71901-7160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346878303 | Hot Springs Ambulatory Surgery Center, LLC | Clinic/Center | 148 Sawtooth Oak St, Hot Springs, AR 71901 | 2020-03-27 |
| 1114558285 | Patrick Michael Westerman | Physical Therapist | 2122 Malvern Ave, Suite 5, Hot Springs, AR 71901 | 2020-01-28 |
| 1013416601 | Cheryl Kuhn | Counselor | 1820 Central Ave. Ste. B, Hot Springs, AR 71901 | 2018-02-08 |
| 1841711744 | Bonnie Lee | Case Manager/Care Coordinator | 240 Matthews Dr Apt A2, Hot Springs, AR 71901 | 2017-06-29 |
| 1699221457 | Belvedere Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 2600 Park Avenue, Hot Springs, AR 71901 | 2016-08-31 |
| 1639558398 | Jamie L. Summers Stacks, Pa | Counselor | 100 Ridgeway Ave, Suite 1, Hot Springs, AR 71901 | 2015-05-27 |
| 1831435452 | Wpm Community Pharmacies, LLC | Pharmacist | 105 Sawtooth Oak Street, Hot Springs, AR 71901 | 2012-12-31 |
| 1467759159 | Karissia Dawson | Counselor | 100 Ridgeway St Ste 5, Hot Springs, AR 71901 | 2011-02-16 |
| 1407172331 | Summit Dental, Inc | Dentist | 1421 Central Avenue, Hot Springs, AR 71901 | 2010-04-16 |
| 1609190826 | Mindy Gallegos | Nurse Practitioner | 102 Chippewa Ct, Hot Springs, AR 71901 | 2010-03-17 |
| Find all providers in zip 71901 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| 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 |
|---|---|---|---|---|
| 1720410467 | Harps Food Stores, Inc | Pharmacy | 5536 Central Avenue, Hot Springs, AR 71913 | 2013-08-05 |
| 1659703411 | Harps Food Stores, Inc | Pharmacy | 146 Thornton Ferry Road, Hot Springs, AR 71913 | 2013-08-05 |
| 1720120173 | Hometown Pharmacy Inc | Pharmacy | 2228 Albert Pike Rd Ste B, Hot Springs, AR 71913-4089 | 2007-02-13 |
| 1265580260 | Bob's Food City # 1450 | Pharmacy | 800 Malvern Ave, Hot Springs, AR 71901-6230 | 2007-01-08 |
| 1457409385 | Buy Rite Partners, Inc | Pharmacy | 1739 Airport Road, Hot Springs, AR 71913 | 2007-01-08 |
| 1164504221 | Hopkins Inc | Pharmacy | 627 Albert Pike Rd, Hot Springs, AR 71913-3805 | 2006-10-19 |
| 1215460688 | Midsouth Medical Specialties, LLC | Pharmacy | 1534 Malvern Ave, Hot Springs, AR 71901-6508 | 2017-04-04 |
| 1508852831 | Budget Pharmacy Inc | Pharmacy | 117 Greenwood Ave, Hot Springs, AR 71913-4428 | 2005-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942320 | Freda Cunningham | Pharmacy | 2100 Hwy 77, Marion, AR 72364 | 2020-11-05 |
| 1457978157 | Sc Pharmacy Group Opco LLC | Pharmacy | 1800 Riverfront Dr Ste 100, Little Rock, AR 72202-1882 | 2020-06-29 |
| 1790306124 | Jbr Enterprises Inc | Pharmacy | 600 Hwy 365, Mayflower, AR 72106 | 2020-04-27 |
| 1215557905 | Medman23, Inc | Pharmacy | 3201 Springhill Dr Ste 110, North Little Rock, AR 72117-2910 | 2020-04-22 |
| 1336768985 | Harps Food Stores, Inc | Pharmacy | 611 Highway 62 65 N, Harrison, AR 72601-2208 | 2020-04-14 |
| 1598393605 | Highlands Oncology Group Pa | Pharmacy | 3901 Parkway Circle, Springdale, AR 72762 | 2020-04-01 |
| 1326674870 | Caraway Drug L.l.c | Pharmacy | 106 W. State Street, Caraway, AR 72419 | 2020-03-17 |
| 1104461532 | Pruett's Food, Inc. | Pharmacy | 101 W. Main, Lockesburg, AR 71846 | 2019-11-08 |
| 1760025274 | Holiday Island Pharmacy, LLC | Pharmacy | 2 Forest Park Dr Ste A, Holiday Island, AR 72631-9229 | 2019-10-28 |
| 1730722463 | Beebe Family Pharmacy, LLC | Pharmacy | 1701 W Dewitt Henry Dr, Beebe, AR 72012-2024 | 2019-10-25 |
| Find all providers with the same taxonomy | ||||
| City | HOT SPRINGS |
| Zip Code | 71901 |
Please comment or provide details below to improve the information on MIDSOUTH MEDICAL SPECIALTIES, LLC.
| 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.