Provider Demographics
NPI:1184635765
Name:ARCARE
Entity Type:Organization
Organization Name:ARCARE
Other - Org Name:ARCARE PHARMACY 11
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFA
Authorized Official - Prefix:
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:
Authorized Official - Last Name:BEEHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-347-3342
Mailing Address - Street 1:117 S. 2ND STREET, PO BOX 497
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:AR
Mailing Address - Zip Code:72006-0497
Mailing Address - Country:US
Mailing Address - Phone:870-347-2534
Mailing Address - Fax:501-842-9335
Practice Address - Street 1:104 STUTTGART HIGHWAY
Practice Address - Street 2:
Practice Address - City:ENGLAND
Practice Address - State:AR
Practice Address - Zip Code:72046-1557
Practice Address - Country:US
Practice Address - Phone:501-842-2575
Practice Address - Fax:501-842-9335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAR177863336C0003X, 3336C0003X
3336L0003X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR161159407Medicaid
1989772OtherPK