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BENNETT HEALTH SERVICES INC. NPI 1356335566


NPI Information

NPI: 1356335566
Provider Name: BENNETT HEALTH SERVICES, INC.

Doing Business As: FAIRFIELD BAY PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
367 DAVE CREEK PKWY
FAIRFIELD BAY, AR
ZIP 72088
Phone: (501) 884-3388
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BENNETT HEALTH SERVICES, INC. is a pharmacy in Fairfield Bay, AR. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. BENNETT HEALTH SERVICES, INC. NPI is 1356335566. The provider is registered as an organization entity type.
The provider Is Doing Business As Fairfield Bay Pharmacy.

The provider's business location address is:

367 DAVE CREEK PKWY
FAIRFIELD BAY, AR
ZIP 72088-631
Phone: (501) 884-3388
Fax: (501) 884-3301

The provider's authorized official is Jenny Boone Treece .
The authorized official title is President, Pharmacist and has the following contact phone number (501) 884-3388.

The enumeration date for this NPI number is 9/1/2005 and was last updated on 8/29/2016.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336L0003XPharmacyLong Term Care PharmacyAR20041ARKANSASNo
3333600000XPharmacyAR20041ARKANSASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
110631MEDICARE PINARKANSAS
23977470001MEDICARE NSCARKANSAS
3142981716MEDICAIDARKANSAS
4132833407MEDICAIDARKANSAS
50416633OTHERARKANSASNCPDP
6AR20041OTHERARKANSASPHARMACY PERMIT

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: 11/14/2023

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.