Junction City Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

AR18106 Issued in AR

Legal business name

JUNCTION CITY PHARMACY

Practice address

119 Main
Junction City, AR 71749

Phone

(870) 924-4018

Fax

(870) 924-4021

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Preston Leon Hines, PD

Title

Ownerpharmacist

Phone

(870) 924-4018

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1003943770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780",
            "city": "JUNCTION CITY",
            "state": "AR",
            "postal_code": "717490780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 MAIN",
            "city": "JUNCTION CITY",
            "state": "AR",
            "postal_code": "71749",
            "telephone_number": "870-924-4018",
            "fax_number": "870-924-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNCTION CITY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "PRESTON",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "OWNERPHARMACIST",
        "authorized_official_telephone_number": "870-924-4018",
        "authorized_official_credential": "PD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR18106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1222879",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100349407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renee Nicole Farag, CNA
• Gold Cross Urgent Care, LLC
• Heather Graves, APRN
• Tammy Jerry, LPC
• Junction City Medical Clinic PLLC
• Junction City School
• Jami L Lucas, PHARM.D.
• Brittany Nicole Marks, COTA/L
• Chelsi McKinney, COTA/L
• Sarah Ochs

• Community/Retail Pharmacy in Junction City, AR
• Providers in Junction 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 Jul 30, 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.