Fountain Lake Family Pharmacy LLC
NPI 1164081071ActiveOrganization· Pharmacy· Hot Springs, AR
Pharmacy in Hot Springs, Arkansas, registered in NPPES in June 2019. The authorized official on file is Michael David Butler, PHARMD, Owner. Medicare paid $3,420 for services to 19 patients in 2024.
Overview
| NPI | 1164081071 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 13, 2019 |
| Last updated in NPPES | Jul 21, 2020 |
| Certified by provider | Jul 21, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (AR); Part B Supplier - Mass Immunization (Roster Biller Only) (AR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 19 |
|---|---|
| Services billed | 48 across 6 procedure codes |
| Paid by Medicare | $3,420 |
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