Ppg Store 4, LLC
Ppg Store 4, LLC is a healthcare organization registered as Community/Retail Pharmacy in Mountain Home, AR, holding Type 2 (organization) NPI 1093257420 since 2016. The authorized official on file is Zach Holderfield, Pharmacist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1093257420 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Ppg Store 4, LLC |
| Other name | <Unavail> |
| Practice address | 200 E 7TH ST, Mountain Home, AR, 72653 |
| Phone | 8704252221 |
| Enumeration date | 2016-11-16 |
| Last updated in NPPES | 2016-11-16 |
Authorized official
| Name | Zach Holderfield |
|---|---|
| Title | Pharmacist |
| Phone | 4793873096 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Primary | — | — |
Copy-ready billing details
Provider: Ppg Store 4, LLC NPI: 1093257420 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 200 E 7TH ST, Mountain Home, AR, 72653
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1386675304 | Magee Pharmacy Inc | Organization | Community/Retail Pharmacy | Mountain Home, AR |
| 1174110696 | Chad Mooney | Individual | Pharmacist | Mountain Home, AR |
Verify this record
Cross-check NPI 1093257420 against the authoritative CMS record: view Ppg Store 4, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Ppg Store 4, LLC?
Who is the authorized official for Ppg Store 4, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-11-16.