Healthcare Provider Details

I. General information

NPI: 1063599868
Provider Name (Legal Business Name): BAKERS PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 MAIN ST
CROSSETT AR
71635-2928
US

IV. Provider business mailing address

300 MAIN ST
CROSSETT AR
71635-2928
US

V. Phone/Fax

Practice location:
  • Phone: 870-364-5155
  • Fax: 870-364-2712
Mailing address:
  • Phone: 870-364-5155
  • Fax: 870-364-2712

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberAR02278
License Number StateAR
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE JOY HOOPS
Title or Position: OWNER
Credential:
Phone: 870-364-5155