OrganizationActive
Southside Specialty Pharmacy
NPI 1497114144 · Specialty Pharmacy · Fort Smith, AR
Southside Specialty Pharmacy is a Specialty Pharmacy organization in Fort Smith, AR (NPI 1497114144).
Provider details
- NPI number
- 1497114144
- Entity type
- Organization
- Primary specialty
- Specialty PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Ihab Herraka, Md/Owner(479) 242-2888
- 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) 242-2888
Street-level locationGet directions
Mailing address
3416 Old Greenwood Rd
Fort Smith, AR 72903-5462
Registry dates
- Enumerated
- 2016-02-22
- Last updated
- 2016-02-22
Frequently asked questions
- What is Southside Specialty Pharmacy's NPI number?
- Southside Specialty Pharmacy's National Provider Identifier (NPI) is 1497114144, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southside Specialty Pharmacy?
- Southside Specialty Pharmacy is classified in the NPPES registry as Specialty Pharmacy (Suppliers).
- Where is Southside Specialty Pharmacy located?
- Southside Specialty Pharmacy's practice location on file with NPPES is 3416 Old Greenwood Rd, Fort Smith, AR 72903-5462.
- What is Southside Specialty Pharmacy's phone number?
- The practice phone number listed in the NPPES registry for Southside Specialty Pharmacy is (479) 242-2888.
- Who is the authorized official for Southside Specialty Pharmacy?
- The authorized official listed on Southside Specialty Pharmacy's NPPES record is Ihab Herraka, Md/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southside Specialty Pharmacy's NPI active?
- Yes — Southside Specialty Pharmacy's NPI (1497114144) is active in the NPPES registry as of the last update on 2016-02-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.