Eddington Pharmaceuticals Inc
Organization Active NPI Community/Retail Pharmacy · Marmaduke, AR
NPI 1013959832 · NPPES record last updated Jan 18, 2017
Key facts
- NPI
- 1013959832
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- AR20164 (AR)
- Legal business name
- EDDINGTON PHARMACEUTICALS INC
- Practice address
- 11901 Hwy 49 N
Marmaduke, AR 72443 - Phone
- (870) 597-2911
- Fax
- (870) 597-2217
- NPI assigned
- Jun 13, 2006
- Organization subpart
- No
Authorized official
- Name
- David Eddington, PD
- Title
- Owner/Pharmacist
- Phone
- (870) 597-2911
Practitioners 1
-
David Bradley Eddington, P.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930016848 | AR | DME Supplier - Pharmacy | 8527148857 | Practice locations: Marmaduke, AR |
| O20111116000695 | AR | Part B Supplier - Mass Immunization (Roster Biller Only) | 8527148857 | Practice locations: Marmaduke, AR |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | AR20164 | AR | Yes |
Addresses
Primary practice location
11901 Hwy 49 N
Marmaduke, AR 72443
Mailing address
PO Box 358
Marmaduke, AR 72443-0358
Phone (870) 597-2911
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 161974407 | Medicaid | AR | |
| 196794716 | Medicaid | AR | |
| 1994559 | Other | PK |
Other names
- MARMADUKE FAMILY PHARMACY
Other providers in Marmaduke, AR
- A & C Fairways and Greenns Inc.
- Access Medical Clinic Arkansas LLC
- Eddington Pharmaceuticals Inc
- Ember & Bloom PLLC
- Sadie Evans
- JT Dewitt D.O.P.a.
- JT Dewitt, D.O., P.a.
All providers in Marmaduke, AR · Community/Retail Pharmacy in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.