OrganizationActive
Pediatric Nutrition Prov of Ar
NPI 1477598795 · Long Term Care Pharmacy · Benton, AR
Pediatric Nutrition Prov of Ar is a Long Term Care Pharmacy organization in Benton, AR (NPI 1477598795).
Provider details
- NPI number
- 1477598795
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Leonard Gray, Co Owner(901) 315-7337
- License
- AR20528 (AR)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
920 Edison Ave
Ste 9
Benton, AR 72015-4502
Phone: (501) 315-7337
Fax: (501) 778-7488
Street-level locationGet directions
Mailing address
920 Edison Ave
Benton, AR 72015-4502
Other names (DBA / former)
- Doing business as
- Access Pharmacy
Registry dates
- Enumerated
- 2006-06-19
- Last updated
- 2025-09-11
Frequently asked questions
- What is Pediatric Nutrition Prov of Ar's NPI number?
- Pediatric Nutrition Prov of Ar's National Provider Identifier (NPI) is 1477598795, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Nutrition Prov of Ar?
- Pediatric Nutrition Prov of Ar is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Pediatric Nutrition Prov of Ar located?
- Pediatric Nutrition Prov of Ar's practice location on file with NPPES is 920 Edison Ave, Benton, AR 72015-4502.
- What is Pediatric Nutrition Prov of Ar's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Nutrition Prov of Ar is (501) 315-7337.
- Who is the authorized official for Pediatric Nutrition Prov of Ar?
- The authorized official listed on Pediatric Nutrition Prov of Ar's NPPES record is Leonard Gray, Co Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Nutrition Prov of Ar's NPI active?
- Yes — Pediatric Nutrition Prov of Ar's NPI (1477598795) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.