Leech Drug Co Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

AR06214 Issued in AR

Legal business name

LEECH DRUG CO INC

Practice address

109 Drew St
Star City, AR 71667-0479

Phone

(870) 628-4263

Fax

(870) 628-4926

NPI assigned

Sep 13, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert LeechNPI 1912004821

Title

President

Phone

(820) 628-4263

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• STAR CITY DRUG MART Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert William Leech Jr., PD

  • Pharmacist
  • Star City, AR
  • NPI 1912004821
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1003911355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 DREW ST",
            "address_2": "PO BOX 479",
            "city": "STAR CITY",
            "state": "AR",
            "postal_code": "71661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 DREW ST",
            "city": "STAR CITY",
            "state": "AR",
            "postal_code": "716670479",
            "telephone_number": "870-628-4263",
            "fax_number": "870-628-4926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEECH DRUG CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "LEECH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "820-628-4263"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR06214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0406214",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "0406214",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STAR CITY DRUG MART",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jefferson Hospital Association, Inc
• Patricia Royals Jenkins, PD
• Kimberly Johnson, BS, MHPP
• Amanda H Kelley
• Kenneth a Heiles, D.O. PLLC
• Robert William Leech Jr., PD
• Alicia Levengood, PTA
• Tasha Lewis, LCSW
• Linco Health, Inc.
• Lincolin Co Assisted Living

• Community/Retail Pharmacy in Star City, AR
• Providers in Star City, AR by specialty
• Community/Retail Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.