BENNETT HEALTH SERVICES INC. NPI 1356335566

NPI Information

  • NPI: 1356335566
  • Provider Name: BENNETT HEALTH SERVICES, INC.
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Doing Business As: FAIRFIELD BAY PHARMACY
  • Address: 367 DAVE CREEK PKWY
    FAIRFIELD BAY, AR
    ZIP 72088
  • Phone: (501) 884-3388

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NPI Details

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 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)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Coronavirus vaccine 14 (HCPCS:91313)
  • Coronavirus vaccine 13 (HCPCS:91312)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
  • Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)

The enumeration date for this NPI number is 9/1/2005 and was last updated on 8/30/2022.

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
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1132833407MEDICAIDARKANSAS
20416633OTHERARKANSASNCPDP
3142981716MEDICAIDARKANSAS
4AR20041OTHERARKANSASPHARMACY 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: 11/21/2025

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