Active NPI
Soos Drug Inc
Doing business as Soo's Drug Store Long Term Care
- Long Term Care Pharmacy
- Jonesboro, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- SOOS DRUG INC
- Doing business as
- Soo's Drug Store Long Term Care
- Practice address
- 2822 E Nettleton Ave
Jonesboro, AR 72401-4531 - Phone
- (870) 932-6930
- Fax
- (870) 932-1378
- NPI assigned
- Apr 26, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Krystal Soo, PD
- Title
- Pharmacist
- Phone
- (870) 932-6930
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
2822 E Nettleton Ave
Jonesboro, AR 72401-4531
Mailing address
2822 E Nettleton Ave
Jonesboro, AR 72401-4531
Phone (870) 932-6930
Other names 1
- Soo's Drug Store Long Term Care
National Provider Directory
National Provider Directory- Tax ID family
- Soo's Drug Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Jonesboro, AR
- NPI 1366596124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682467200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682467200000",
"number": "1013605203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2822 E NETTLETON AVE",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724014531",
"telephone_number": "870-932-6930",
"fax_number": "870-932-1378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2822 E NETTLETON AVE",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724014531",
"telephone_number": "870-932-6930",
"fax_number": "870-932-1378"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOOS DRUG INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-26",
"last_updated": "2023-04-26",
"certification_date": "2023-04-26",
"status": "A",
"authorized_official_last_name": "SOO",
"authorized_official_first_name": "KRYSTAL",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "870-932-6930",
"authorized_official_credential": "PD"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Soo's Drug Store Long Term Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.