Manuel Gamboa, PharmD
Pharmacist in Pea Ridge, AR. Individual provider (NPI-1).
NPI number1508740317
StatusActive
Last updated in NPPESAug 4, 2025
Details
- NPI
- 1508740317
- Entity type
- Individual (NPI-1)
- Name
- Manuel Gamboa
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 4, 2025
- Certification date
- Aug 4, 2025
- Last updated
- Aug 4, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | PD17416 | AR | Yes |
Practice location
240 Slack StPea Ridge, AR 72751-3759
Phone 479-451-9008
Mailing address
7 Yocum RdRogers, AR 72756-9245
Phone 479-616-4845
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Pharmacist providers in Pea Ridge, AR
- Ralph Franklin Burns, PDNPI 1871795237
- Jenny CarawayNPI 1699345413
- Mary Emily Mountifield, PHARMDNPI 1780530592
- Shreya ShahNPI 1023776754
- Nasser - Shirakbari, P.D.NPI 1437365285
- Thomas Hall Stark, PHARMDNPI 1417579772
- Chloe ThorntonNPI 1033928346
All 8 Pharmacist providers in Pea Ridge · All 71 providers in Pea Ridge
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.