MEDI SHOP PHARMACY NPI 1922375559

NPI Information

  • NPI: 1922375559
  • Provider Name: MEDI SHOP PHARMACY
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: MEDI SHOP PHARMACY
  • Address: 204 HIGHWAY 71 S
    MENA, AR
    ZIP 71953
  • Phone: (479) 394-3254

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NPI Details

MEDI SHOP PHARMACY is a community/retail pharmacy pharmacy in Mena, 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. MEDI SHOP PHARMACY NPI is 1922375559. The provider is registered as an organization entity type.
The provider Is Doing Business As Medi Shop Pharmacy.

The provider's business location address is:

204 HIGHWAY 71 S
MENA, AR
ZIP 71953-638
Phone: (479) 394-3254
Fax: (479) 394-0235

The provider's authorized official is Robert Geyer .
The authorized official title is Pharmacist and has the following contact phone number (479) 394-7476.

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 derived from cell cultures (HCPCS:90756)

The enumeration date for this NPI number is 11/28/2011 and was last updated on 3/17/2017.

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
13336L0003XPharmacyLong Term Care PharmacyNo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyAR20383ARKANSASYes

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
16709090001MEDICARE NSC
2190453407MEDICAIDARKANSAS
32133056OTHERPK

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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