Drug Store, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

AR17560 Issued in AR

Legal business name

DRUG STORE, INC

Doing business as

The Drug Store

Practice address

11121 N Rodney Parham Rd Ste 42B
Little Rock, AR 72212-4108

Phone

(501) 223-2636

Fax

(501) 224-5253

NPI assigned

Mar 17, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Phillip A Judd, PDNPI 1912067364

Title

Owner/Pharmacist

Phone

(501) 223-2636

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Drug Store Doing business as

Medicare fee-for-service enrollment

Enrolled in AR3 enrollments

Enrollment records 3

Locations

Practitioners 4

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

• Phillip Judd

  • Pharmacist
  • Little Rock, AR
  • NPI 1912067364
  NPD Authorized official
• Lisa Annette Burgess, RPH

  • Pharmacist
  • Little Rock, AR
  • NPI 1093499089
  NPD (past)
• Meggan Edmondson

  • Pharmacist
  • Little Rock, AR
  • NPI 1306580824
  NPD (past)
• Kimberly Michelle Ragland, PHARMD

  • Pharmacist
  • Ferguson, MO
  • NPI 1770985913
  NPD (past)

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589414400000",
    "number": "1013188168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11121 N RODNEY PARHAM RD STE 42B",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722124108",
            "telephone_number": "501-223-2636",
            "fax_number": "501-224-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11121 N RODNEY PARHAM RD STE 42B",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722124108",
            "telephone_number": "501-223-2636",
            "fax_number": "501-224-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRUG STORE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A",
        "authorized_official_last_name": "JUDD",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "501-223-2636",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR17560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110981407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sasya Dronavalli, MD
• Lindsey Ann Droste, APRN, NNP-BC
• DRS Budhraja, PA
• DRS. Woodard & Sundell, DDS, PA
• Drug Store Inc
• Kelsey M Druhot
• Dry Eye Center of Arkansas
• Duane Birky MD PA
• Thirumal Reddy Dubbaka, MD
• Dominique Steed Dubois, CNM

• Community/Retail Pharmacy in Little Rock, AR
• Providers in Little Rock, 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 May 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.