West Side Pharmacy Incorporated
Community/Retail Pharmacy
620 West South Street, Benton
Arkansas, 72015
501-778-3151 501-778-7329
West Side Pharmacy Incorporated is a Community/Retail Pharmacy in Benton, Arkansas. It is located at 620 West South Street, Benton and it's customer support contact number is 501-778-3151. The authorized person of West Side Pharmacy Incorporated is James Zackary Haley, PHARMD who is Pharmacist In Charge of the pharmacy and his contact number is 501-517-0227. Active license number of West Side Pharmacy Incorporated is AR01745 for Community/Retail Pharmacy in Arkansas. West Side Pharmacy Incorporated accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
West Side Pharmacy Incorporated is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
West Side Pharmacy Incorporated type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | West Side Pharmacy Incorporated |
| Type: | Community/Retail Pharmacy |
| Location: | 620 West South Street, Benton,
Arkansas, 72015 |
| Phone: | 501-778-3151 |
| Fax: | 501-778-7329 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | James Zackary Haley |
| Credentials: | PHARMD |
| Position: | Pharmacist In Charge |
| Contact Number: | 501-517-0227 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1013922541 |
| NPI Enumeration Date: | 31 Jul, 2006 |
| NPI Last Update On: | 14 Dec, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for West Side Pharmacy Incorporated are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | AR01745 | Arkansas | Primary | |
| Medical Specialty | | | Secondary | |
| Pharmacy | | | Secondary | |
| Compounding Pharmacy | | | Secondary | |
| Long Term Care Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 027989700 | Medicaid | Arkansas | |
| 100097407 | Medicaid | Arkansas | |
| 0401745 | Other | | Ncpdp Provider Identification Number |
| 200054590A | Medicaid | Oklahoma | |
Medicare Enrollment:
West Side Pharmacy Incorporated is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 0244359453 | O20100930027480 | Westside Pharmacy Inc | DME SUPPLIER - PHARMACY |
| 0244359453 | O20140210000147 | Westside Pharmacy Inc | PART B SUPPLIER - OTHER |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 620 West South Street,
Benton, Arkansas |
| Zip: | 72015 |
| Phone Number: | 501-778-3151 |
| Fax Number: | 501-778-7329 |
Patients can reach West Side Pharmacy Incorporated at
620 West South Street, Benton, Arkansas or can
call on customer care at 501-778-3151.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.