SAMUEL ALEXANDER, R Ph — NPI 1104812312 (Licensed & Credentialed Pharmacist in HARRISON, AR)

CMS-1500 Box 24J / 33a • NPI

1104812312

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

183500000X

Licensed & Credentialed Pharmacist

Box 32 Service Location & ZIP+4

127 N MAIN ST, HARRISON, AR, 72601-4227

✓ 9-Digit EDI 837 ZIP+4 (72601-4227)

Practice Phone & Referral Fax

(870) 741-6511

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1104812312 (SAMUEL ALEXANDER, R Ph) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1104812312` (NPI-1 Individual Practitioner)
Provider / Legal Name	SAMUEL ALEXANDER, R Ph
Plain-English Specialty	Licensed & Credentialed Pharmacist NUCC Code: `183500000X` (Pharmacist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	127 N MAIN ST, HARRISON, AR, 72601-4227
Practice Telephone / Fax	Tel: (870) 741-6511
Administrative Mailing Address	108 E RUSH AVE, HARRISON, AR, 72601-4326
Enumeration & Last Sync	Enumerated: 2005-09-22 \| CMS Record Updated: 2026-07-13

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

127 N MAIN ST, HARRISON, AR, 72601-4227

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Plain-English Taxonomy & CMS Crosswalk (183500000X)

What Does Taxonomy Code 183500000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 183500000X translates to:
"Licensed & Credentialed Pharmacist"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Pharmacist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (SAMUEL ALEXANDER, R Ph)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`183500000X` — Pharmacist Plain English: Licensed & Credentialed Pharmacist	State: AR \| License: `5408` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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SAMUEL ALEXANDER, R Ph (NPI #1104812312)