SOUTHERN HEALTH AND WELLNESS, INC (NPI# 1639180219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639180219 |
| Entity Type | Organization |
| Organization Name | SOUTHERN HEALTH AND WELLNESS, INC |
| Other Organization Name | SOUTHERN PHARMACY OF ARKANSAS |
| Practice Address |
3001 Apache Dr Jonesboro AR 72401-7432 |
| Practice Telephone | 8709721751 |
| Practice Fax Number | 8709310992 |
| Mailing Telephone | 8709721751 |
| Mailing Fax Number | 8709310992 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-09-28 |
| Authorized Official Name | DR. KYLE ANDREW LOMAX (PRESIDENT) |
| Authorized Official Telephone | 8702759496 |
| Authorized Official Credential | PHARM. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
AR10314 | AR | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
AR10314 | AR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | ARKANSAS PHARMACY PERMIT | AR10314 | 01 |
| Other Name | Type Code |
|---|---|
| Southern Pharmacy of Arkansas | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992221287 | Southern Health and Wellness, Inc | Pharmacy | 203 Newsome Dr Ste A, Marked Tree, AR 72365-2018 | 2017-08-17 |
| 1437605789 | Southern Health and Wellness, Inc | Internal Medicine | 4302alton Road, Suite 470, Miami Beach, FL 33140-4557 | 2016-08-28 |
| 1396052346 | Southern Health and Wellness, Inc | Pharmacy | 803 Highway 18 Ste B, Lake City, AR 72437-9603 | 2010-09-10 |
| 1952530248 | Southern Health and Wellness, Inc | Pharmacy | 730 Greenwood Ave, Suite A, Lepanto, AR 72354-3215 | 2009-07-08 |
| 1366453946 | Southern Health and Wellness, Inc | Durable Medical Equipment & Medical Supplies | 214 W Drew Ave, Monette, AR 72447-9010 | 2006-08-10 |
| 1184222473 | Southern Health and Wellness, Inc | Pharmacy | 109 S Main St, Leachville, AR 72438-9097 | 2020-10-09 |
| Street Address |
3001 APACHE DR |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-7432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003325788 | Kyle A Lomax | Pharmacist | 3001 Apache Dr, Jonesboro, AR 72401-7432 | 2017-09-25 |
| 1205345980 | Kass Kay Lomax | Pharmacist | 3001 Apache Dr, Jonesboro, AR 72401-7432 | 2017-09-25 |
| 1740799428 | Kenny A Lomax | Pharmacist | 3001 Apache Dr, Jonesboro, AR 72401 | 2017-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376160747 | Reff Drugs Inc | Pharmacy | 1117 Battlecreek Rd Ste 860a, Jonesboro, GA 30236-2407 | 2020-07-01 |
| 1164986485 | Healthlink Pharmacy LLC | Pharmacy | 299 Flint River Rd, Jonesboro, GA 30238-4748 | 2019-01-31 |
| 1932612991 | Drugbuddies LLC | Pharmacy | 6457 Tara Blvd Ste 7, Jonesboro, GA 30236-1214 | 2017-11-13 |
| 1831536283 | West End Associates, Inc. | Pharmacy | 619 W Nettleton Ave, Jonesboro, AR 72401-3970 | 2013-05-24 |
| 1265786354 | Nea Pharmaceuticals | Pharmacy | 1109 W. Parker Road, Jonesboro, AR 72404-9583 | 2012-10-29 |
| 1952404618 | Georgia Cvs Pharmacy LLC | Pharmacy | 8139 Tara Blvd, Jonesboro, GA 30236-3142 | 2006-09-07 |
| 1225050008 | Arkansas Cvs Pharmacy LLC | Pharmacy | 3000 E Highland Dr Ste A, Jonesboro, AR 72401-6376 | 2006-07-24 |
| 1134141005 | Stone's Pharmacy Inc | Pharmacy | 417 E Matthews Ave, Jonesboro, AR 72401-3142 | 2006-07-23 |
| 1982198388 | Anovorx Group, LLC | Pharmacy | 406 E Washington Ave, Jonesboro, AR 72401-3108 | 2018-06-19 |
| 1336544584 | Wpm Community Pharmacies, LLC | Pharmacy | 1903 Grant Ave Ste Iandj, Jonesboro, AR 72401-6134 | 2014-10-30 |
| Find all providers in JONESBORO | ||||
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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.