BENNETT HEALTH SERVICES, INC. (NPI# 1356335566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356335566 |
| Entity Type | Organization |
| Organization Name | BENNETT HEALTH SERVICES, INC. |
| Other Organization Name | FAIRFIELD BAY PHARMACY |
| Practice Address |
367 Dave Creek Pkwy Fairfield Bay AR 72088-3631 |
| Mailing Address |
Po Box 1223 Fairfield Bay AR 72088-1223 |
| Practice Telephone | 5018843388 |
| Practice Fax Number | 5018843301 |
| Mailing Telephone | 5018843388 |
| Mailing Fax Number | 5018843301 |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2016-08-29 |
| Authorized Official Name | DR. JENNY BOONE TREECE (PRESIDENT, PHARMACIST) |
| Authorized Official Telephone | 5018843388 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
AR20041 | AR | Suppliers |
| Y | 333600000X | Pharmacy | AR20041 | AR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | NCPDP | 0416633 | 01 |
| AR | 142981716 | 05 | |
| AR | 132833407 | 05 | |
| AR | PHARMACY PERMIT | AR20041 | 01 |
| Other Name | Type Code |
|---|---|
| Fairfield Bay Pharmacy | Doing Business As Name - Organization |
| Street Address |
367 DAVE CREEK PKWY |
| City | FAIRFIELD BAY |
| State | AR |
| Zip Code | 72088-3631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609036789 | S M Hassan Bashiri | Dentist | 203 Lakeview Dr, Fairfield Bay, AR 72088 | 2008-06-12 |
| 1255429726 | Boston Mountain Rural Health Center, Inc | Clinic/Center | 110 Village Village Place, Fairfield Bay, AR 72088 | 2006-10-10 |
| 1659781151 | Baptist Health | Clinic/Center | 110 Village Ln, Suite 2b, Fairfield Bay, AR 72088 | 2014-05-06 |
| 1033758420 | Jenny Treece | Pharmacist | 367 Dave Creek Parkway, Fairfield, AR 72088-1223 | 2020-01-02 |
| 1861454506 | City of Fairfield Bay | Ambulance | 101 Little Rock Drive, Fairfield Bay, AR 72088-1271 | 2006-04-06 |
| 1780168948 | White River Health System, Inc. | Clinic/Center | 110 Village Pl, Fairfield Bay, AR 72088-2838 | 2018-09-24 |
| 1215066998 | Village Gardens | Assisted Living Facility | 265 Dave Creek Pkwy, Fairfield Bay, AR 72088-3106 | 2007-03-05 |
| 1780633222 | Indian Rock Village, LLC | Nursing Facility/Intermediate Care Facility | 265 Dave Creek Parkway, Fairfield Bay, AR 72088-3136 | 2006-05-10 |
| 1477960581 | Ozark Medical Clinic, LLC | Family Medicine | 383 Dave Creek Pkwy, Fairfield Bay, AR 72088-3631 | 2014-07-21 |
| 1578758082 | Rebecca M. Mcallister | Physical Therapist | 107 Eagle Ridge Trce, Fairfield Bay, AR 72088-4512 | 2007-09-07 |
| Find all providers in zip 72088 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679198212 | Rachel Hardke | Pharmacy | 14984 Highway 86 W, Hazen, AR 72064-8348 | 2020-06-09 |
| 1821612326 | Sheridan Family Pharmacy LLC | Pharmacy | 677 Heritage Drive, Sheridan, AR 72150-5000 | 2020-06-01 |
| 1235614421 | Greenbrier Pharmacy Inc | Pharmacy | 61a South Broadview St, Greenbrier, AR 72058 | 2018-10-03 |
| 1376048124 | Bono Family Pharmacy, LLC | Pharmacy | 10040 Highway 63 S Ste 4, Bono, AR 72416-8669 | 2018-03-26 |
| 1073014866 | East End Express Pharmacy Inc | Pharmacy | 21019 Highway 167, Suite 100, Hensley, AR 72065 | 2018-02-27 |
| 1326546524 | White River Pharmacy, LLC | Pharmacy | 7321 W Sunset Ave Ste G, Springdale, AR 72762-0990 | 2018-01-23 |
| 1013422179 | Ppg Store 6 LLC | Pharmacy | 2235 Dave Ward Dr Ste 108, Conway, AR 72034-7040 | 2017-12-11 |
| 1952814857 | Health-wise Pharmacy Pllc | Pharmacy | 47 S Hwy 71 Bypass, Waldron, AR 72958 | 2017-11-14 |
| 1598278806 | Genoa Healthcare, LLC | Pharmacy | 21 Bridgeway Rd Ste P, North Little Rock, AR 72113-9514 | 2017-11-08 |
| 1811414972 | Genoa Healthcare, LLC | Pharmacy | 715 N College Ave Ste P1, El Dorado, AR 71730-4403 | 2017-08-29 |
| Find all providers with the same taxonomy | ||||
| City | FAIRFIELD BAY |
| Zip Code | 72088 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.