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NPI · 1790479087 · NPPES-sourced

State Line Pharmacy, PLLC

ActiveCommunity/Retail Pharmacy
NPI Number
1790479087
Type 2 · Organisation
Taxonomy Code
3336C0003X
Contact
(870) 843-6028
Primary practice line
Last Updated
Enumerated
Primary practice addressAR · 71749-9501
501 N Main StJunction City, AR 71749-9501
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About this NPIWhat this record shows.

NPI 1790479087 is registered to State Line Pharmacy, PLLC, a healthcare organisation classified as "Community/Retail Pharmacy" and located at 501 N Main St in Junction City, Arkansas. The organisation's authorised official is Jami Lucas. The organisation has been enumerated in the NPI registry since 2023.

Provider type
Organisation (Type 2)
Status
Active
Enumerated

Beyond the registryWhat this record adds.

It is enrolled in Medicare, linking to 1 PECOS enrollment record (with a public Medicare Enrollment ID) sourced from CMS, which the NPPES registry does not list. Within the directory it is one of 847 Community/Retail Pharmacy providers on file in Arkansas.

Source: CMS NPPES and PECOS public files. snapshot, refreshed monthly.

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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans State Line Pharmacy, PLLC accepts. To confirm in-network status with your specific health plan, contact State Line Pharmacy, PLLC directly at (870) 843-6028.

Frequently asked

Yes. NPI 1790479087 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Community/Retail Pharmacy is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (870) 843-6028.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. State Line Pharmacy, PLLC is a Type-2 organisational NPI.

As of the latest monthly CMS NPPES snapshot, 847 Community/Retail Pharmacy providers are registered in Arkansas, and State Line Pharmacy, PLLC is one of them. The figure refreshes each month from the federal source.

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Quick facts

Provider typeOrganisation
Taxonomy3336C0003X
Last updated
Enumerated
StatusActive
Partneri
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1 record · same addressOther providers at this location.

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Same specialtyOther Community/Retail Pharmacy providers in Arkansas.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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