State Line Pharmacy, PLLC
NPI 1790479087 · Community/Retail Pharmacy · Junction City, AR
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
State Line Pharmacy, PLLC is a Community/Retail Pharmacy organization in Junction City, AR (NPI 1790479087).
Provider details
- NPI number
- 1790479087
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jami Lucas, Pharmacist in Charge(870) 843-6028
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
3 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
53 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Influenza Virus VaccineG0008 | 53 | $28 |
Typical Medicare-allowed amounts for these services range $28–$28 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-06-08
- Last updated
- 2023-06-14
- Certified
- 2023-06-14
Frequently asked questions
- What is State Line Pharmacy, PLLC's NPI number?
- State Line Pharmacy, PLLC's National Provider Identifier (NPI) is 1790479087, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is State Line Pharmacy, PLLC?
- State Line Pharmacy, PLLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is State Line Pharmacy, PLLC located?
- State Line Pharmacy, PLLC's practice location on file with NPPES is 501 N Main St, Junction City, AR 71749-9501.
- What is State Line Pharmacy, PLLC's phone number?
- The practice phone number listed in the NPPES registry for State Line Pharmacy, PLLC is (870) 843-6028.
- Does State Line Pharmacy, PLLC accept Medicare?
- State Line Pharmacy, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for State Line Pharmacy, PLLC?
- The authorized official listed on State Line Pharmacy, PLLC's NPPES record is Jami Lucas, Pharmacist in Charge. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is State Line Pharmacy, PLLC's NPI active?
- Yes — State Line Pharmacy, PLLC's NPI (1790479087) is active in the NPPES registry as of the last update on 2023-06-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.