Provider Type Icon

SOUTHSIDE SPECIALTY PHARMACY NPI 1497114144


NPI Information

NPI: 1497114144
Provider Name: SOUTHSIDE SPECIALTY PHARMACY
Classification: Pharmacy - 3336S0011X
Entity Type: Organization

Specialization: Specialty Pharmacy

Address:
3416 OLD GREENWOOD RD
SUITE A
FORT SMITH, AR
ZIP 72903
Phone: (479) 242-2888
Get Directions

SOUTHSIDE SPECIALTY PHARMACY is a specialty pharmacy pharmacy in Fort Smith, AR. The provider is 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. SOUTHSIDE SPECIALTY PHARMACY NPI is 1497114144. The provider is registered as an organization entity type.

The provider's business location address is:

3416 OLD GREENWOOD RD
SUITE A
FORT SMITH, AR
ZIP 72903-462
Phone: (479) 242-2888

The provider's authorized official is Ihab Herraka .
The authorized official title is Md/owner and has the following contact phone number (479) 242-2888.

The enumeration date for this NPI number is 2/22/2016 and was last updated on 2/22/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336S0011XPharmacySpecialty PharmacyAR20829ARKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.