Provider Demographics
NPI:1609980028
Name:NEWTONS PHARMACY INC
Entity Type:Organization
Organization Name:NEWTONS PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:S
Authorized Official - Last Name:NEWTON
Authorized Official - Suffix:JR
Authorized Official - Credentials:PD
Authorized Official - Phone:479-968-1157
Mailing Address - Street 1:715 WEST MAIN
Mailing Address - Street 2:
Mailing Address - City:RUSSELLVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72801-3616
Mailing Address - Country:US
Mailing Address - Phone:479-968-1157
Mailing Address - Fax:479-968-1896
Practice Address - Street 1:715 WEST MAIN
Practice Address - Street 2:
Practice Address - City:RUSSELLVILLE
Practice Address - State:AR
Practice Address - Zip Code:72801-3616
Practice Address - Country:US
Practice Address - Phone:479-968-1157
Practice Address - Fax:479-968-1896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-19
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR04 05919332B00000X, 333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR100405407Medicaid
AR0169180001Medicare ID - Type Unspecified