REDFIELD PHARMACY MANGEMENT LLC NPI 1093863037

NPI Information

  • NPI: 1093863037
  • Provider Name: REDFIELD PHARMACY MANGEMENT LLC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: REDFIELD PHARMACY
  • CLIA Number: 04D2246677
  • Address: 1017 SHERIDAN ROAD #3
    REDFIELD, AR
    ZIP 72132
  • Phone: (501) 397-5400

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NPI Details

REDFIELD PHARMACY MANGEMENT LLC is a community/retail pharmacy pharmacy in Redfield, AR. The provider is 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. REDFIELD PHARMACY MANGEMENT LLC NPI is 1093863037. The provider is registered as an organization entity type.
The provider Is Doing Business As Redfield Pharmacy.

The provider's business location address is:

1017 SHERIDAN ROAD #3
REDFIELD, AR
ZIP 72132-326
Phone: (501) 397-5400
Fax: (501) 397-2218

The provider's authorized official is Brandon Achor .
The authorized official title is Managing Member and has the following contact phone number (501) 681-5740.

The CLIA number assigned to this NPI record is 04D2246677 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)

The enumeration date for this NPI number is 1/8/2007 and was last updated on 5/8/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyAR19045ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1161831407MEDICAIDARKANSAS
21988040OTHERPK

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: 11/21/2025

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