MEDICARE: HOT SPRINGS PHARMACY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist
2	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1790651842
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOT SPRINGS PHARMACY, LLC

Provider Business Mailing Address
First Line	:	1210 AIRPORT RD
Second Line	:
City	:	HOT SPRINGS
State	:	AR
Zip	:	71913-5334
Country	:	US
Telephone Number	:	501-760-2444
Fax Number	:	501-760-2449

Provider Business Practice Location Address
First Line	:	1210 AIRPORT RD
Second Line	:
City	:	HOT SPRINGS
State	:	AR
Zip	:	71913-5334
Country	:	US
Telephone Number	:	501-760-2444
Fax Number	:	501-760-2449

Authorized Official
Title or Position	:	OWNER/PIC
Name	:	ADUSTON SPIVEY
Credential	:	PHARMD
Telephone Number	:	501-760-2444

Provider Enumeration Date	:	10/15/2025
Last Update Date	:	12/18/2025

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