Healthcare Provider Details

I. General information

NPI: 1013852847
Provider Name (Legal Business Name): GERI BEMBERG PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 CENTER ST
LITTLE ROCK AR
72201-4402
US

IV. Provider business mailing address

1104 LINCOLN ST
LONOKE AR
72086-9303
US

V. Phone/Fax

Practice location:
  • Phone: 501-377-8218
  • Fax:
Mailing address:
  • Phone: 501-377-8218
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPD12725
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: