Danville Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

DANVILLE PHARMACY LLC

Practice address

104 E 8TH St
Danville, AR 72833-8823

Phone

(479) 495-3333

Fax

(479) 495-4318

NPI assigned

Aug 3, 2022

Organization subpart

No

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

Authorized official

Name

Clayton DickersonNPI 1568196970

Title

Pic

Phone

(870) 540-7955

Specialties & licenses 1

Addresses

Tax ID family

Danville Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Danville Pharmacy LLC

  • Pharmacist
  • Danville, AR
  • NPI 1700524774
  NPD tax ID

Locations

Practitioners 2

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

• Clayton Andrew Dickerson, PHARMD

  • Pharmacist
  • Danville, AR
  • NPI 1568196970
  NPD (past) Authorized official
• Joseph Grant Cathey, PHARMD

  • Pharmacist
  • Danville, AR
  • NPI 1871270140
  NPD

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1023745775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 EAST 8TH STREET",
            "city": "DANVILLE",
            "state": "AR",
            "postal_code": "72833",
            "telephone_number": "479-495-3333",
            "fax_number": "479-495-4318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E 8TH ST",
            "city": "DANVILLE",
            "state": "AR",
            "postal_code": "728338823",
            "telephone_number": "479-495-3333",
            "fax_number": "479-495-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANVILLE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "870-540-7955"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Counseling Associates, Inc.
• Kelsey Crawford, DPT
• Sharla Crofford, SLP
• Danny Lyons, RPT-PA
• Danville Medical, Inc.
• Danville Pharmacy LLC
• Danville Public School
• Danville School
• April Davis
• Lauren Karee Davis

• Long Term Care Pharmacy in Danville, AR
• Providers in Danville, AR by specialty
• Long Term Care Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.