SOUTHERN HEALTH AND WELLNESS, INC (NPI# 1952530248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952530248 |
| Entity Type | Organization |
| Organization Name | SOUTHERN HEALTH AND WELLNESS, INC |
| Other Organization Name | SOUTHERN PHARMACY OF ARKANSAS |
| Practice Address |
730 Greenwood Ave Suite A Lepanto AR 72354-3215 |
| Mailing Address |
3001 Apache Dr Jonesboro AR 72401-7432 |
| Practice Telephone | 8704752617 |
| Practice Fax Number | 8704753897 |
| Mailing Telephone | 8702759496 |
| Mailing Fax Number | 8709310992 |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2020-10-05 |
| 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 |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
AR03953 | AR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | ARKANSAS PHARMACY LICENSE | AR15744 | 01 |
| NCPDP | 0423210 | 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 |
| 1366453946 | Southern Health and Wellness, Inc | Durable Medical Equipment & Medical Supplies | 214 W Drew Ave, Monette, AR 72447-9010 | 2006-08-10 |
| 1639180219 | Southern Health and Wellness, Inc | Durable Medical Equipment & Medical Supplies | 3001 Apache Dr, Jonesboro, AR 72401-7432 | 2006-08-10 |
| 1184222473 | Southern Health and Wellness, Inc | Pharmacy | 109 S Main St, Leachville, AR 72438-9097 | 2020-10-09 |
| Street Address |
730 GREENWOOD AVE SUITE A |
| City | LEPANTO |
| State | AR |
| Zip Code | 72354-3215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356793905 | Regina Strop | Nurse Practitioner | 730 Greenwood Ave, Lepanto, AR 72354-3215 | 2016-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992298756 | Hannah Nicole Tyler | Case Manager/Care Coordinator | 122 Will Henry Dr., Lepanto, AR 72354 | 2018-06-07 |
| 1295952182 | East Arkansas Family Health Center Inc. | Pharmacy | 102 W Broad, Lepanto, AR 72354 | 2007-04-20 |
| 1922139062 | East Arkansas Family Health Center Inc. | Clinic/Center | 102 West Broad, Lepanto, AR 72354 | 2007-03-08 |
| 1265568745 | Jones Drug Store | Pharmacy | 216 Greenwood Ave South, Lepanto, AR 72354 | 2007-02-26 |
| 1316041957 | T W Wagner Inc | Clinic/Center | 331 Broad Street, Suite B, Lepanto, AR 72354 | 2006-09-12 |
| 1053528778 | Lisa J Booker | Nurse Practitioner | 260 West Broad Street, Lepanto, AR 72354-0000 | 2007-05-16 |
| 1902885015 | Sumner R Cullom | General Practice | 260 W Broad St, Lepanto, AR 72354-0723 | 2006-01-17 |
| 1225373749 | Joseph Daniel Mcguinness | Physician Assistant | 102 W Broad St, Lepanto, AR 72354-2200 | 2012-12-10 |
| 1538444252 | Mike Miller | Pharmacist | 102 W Broad St, Lepanto, AR 72354-2200 | 2011-10-13 |
| 1366608895 | East Arkansas Family Health Center | Dentist | 102 W Broad St, Lepanto, AR 72354-2200 | 2008-08-04 |
| Find all providers in zip 72354 | ||||
| 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 |
|---|---|---|---|---|
| 1295952182 | East Arkansas Family Health Center Inc. | Pharmacy | 102 W Broad, Lepanto, AR 72354 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942320 | Freda Cunningham | Pharmacy | 2100 Hwy 77, Marion, AR 72364 | 2020-11-05 |
| 1457978157 | Sc Pharmacy Group Opco LLC | Pharmacy | 1800 Riverfront Dr Ste 100, Little Rock, AR 72202-1882 | 2020-06-29 |
| 1790306124 | Jbr Enterprises Inc | Pharmacy | 600 Hwy 365, Mayflower, AR 72106 | 2020-04-27 |
| 1215557905 | Medman23, Inc | Pharmacy | 3201 Springhill Dr Ste 110, North Little Rock, AR 72117-2910 | 2020-04-22 |
| 1336768985 | Harps Food Stores, Inc | Pharmacy | 611 Highway 62 65 N, Harrison, AR 72601-2208 | 2020-04-14 |
| 1598393605 | Highlands Oncology Group Pa | Pharmacy | 3901 Parkway Circle, Springdale, AR 72762 | 2020-04-01 |
| 1326674870 | Caraway Drug L.l.c | Pharmacy | 106 W. State Street, Caraway, AR 72419 | 2020-03-17 |
| 1104461532 | Pruett's Food, Inc. | Pharmacy | 101 W. Main, Lockesburg, AR 71846 | 2019-11-08 |
| 1760025274 | Holiday Island Pharmacy, LLC | Pharmacy | 2 Forest Park Dr Ste A, Holiday Island, AR 72631-9229 | 2019-10-28 |
| 1730722463 | Beebe Family Pharmacy, LLC | Pharmacy | 1701 W Dewitt Henry Dr, Beebe, AR 72012-2024 | 2019-10-25 |
| Find all providers with the same taxonomy | ||||
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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.