Southside Specialty Pharmacy
NPI 1497114144ActiveOrganization· Pharmacy, Specialty Pharmacy· Fort Smith, AR
Pharmacy, Specialty Pharmacy in Fort Smith, Arkansas, registered in NPPES in February 2016. The authorized official on file is Ihab Herraka, Md/Owner.
Overview
| NPI | 1497114144 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 22, 2016 |
| Last updated in NPPES | Feb 22, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Specialty Pharmacy Primary | 3336S0011X | AR20829 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|