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Red River Pharmacy of Jonesboro LLC

NPI 1609323922ActiveOrganization· Pharmacy, Nuclear Pharmacy· Jonesboro, AR

Pharmacy, Nuclear Pharmacy in Jonesboro, Arkansas, registered in NPPES in September 2016. The authorized official on file is David Boudreaux, President. Enrolled in Medicare as dme supplier - pharmacy and part b supplier - home infusion therapy supplier.

Overview

NPI1609323922
StatusActive
Entity typeOrganization
NPI issuedSep 2, 2016
Last updated in NPPESSep 30, 2026
Certified by providerSep 30, 2026

Specialties and licenses

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled DME Supplier - Pharmacy (AR); Part B Supplier - Home Infusion Therapy Supplier (AR)

Medicare sources and data years