OrganizationActiveAccepts Medicare
West Side Pharmacy- Military Road LLC
NPI 1245035260 · Pharmacy · Benton, AR
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1245035260
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Maddison Schuller, Owner(501) 778-3151
Specialties & taxonomies
Suppliers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
1525 Military Road
Benton, AR 72015
Phone: (501) 778-3151
Street-level locationGet directions
Mailing address
620 W South St
Benton, AR 72015-4258
Registry dates
- Enumerated
- 2025-02-14
- Last updated
- 2025-02-14
- Certified
- 2025-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.