OrganizationActive
Arkansas Liver and Gastroenterology
NPI 1205296043 · Pharmacy · Fort Smith, AR
Provider details
- NPI number
- 1205296043
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Parent organization
- Arkansas Liver and Gastroenterology
- Organization subpart
- Yes
- Authorized official
- Ihab Herraka, Owner(472) 242-2894
- License
- AR20829 (AR)
Specialties & taxonomies
Suppliers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3416 Old Greenwood Rd
Suite a
Fort Smith, AR 72903-5462
Phone: (479) 242-2894
Street-level locationGet directions
Mailing address
3416 Old Greenwood Rd
Fort Smith, AR 72903-5462
Other names (DBA / former)
- Doing business as
- Southside Specialty Pharmacy
Registry dates
- Enumerated
- 2016-03-04
- Last updated
- 2016-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.