Pharmacy of Shannon Hills LLC
NPI 1407508765ActiveOrganization· Pharmacy· Mabelvale, AR
Pharmacy in Mabelvale, Arkansas, registered in NPPES in January 2022. The authorized official on file is Callie Bench, PHARMD, Owner/Pharmacist In Charge. Medicare paid $17,279 for services to 66 patients in 2024.
Overview
| NPI | 1407508765 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 18, 2022 |
| Last updated in NPPES | May 6, 2022 |
| Certified by provider | May 6, 2022 |
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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Pharmacy (AR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 66 |
|---|---|
| Services billed | 228 across 8 procedure codes |
| Paid by Medicare | $17,279 |
Other Pharmacy providers in Mabelvale
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