Delta Drugs Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

AR01163 Issued in AR

Legal business name

DELTA DRUGS INC

Doing business as

Delta Drug Inc

Practice address

257 S Hwy 18 Bypass
Manila, AR 72442

Phone

(870) 561-3113

Fax

(870) 561-4291

NPI assigned

Sep 21, 2006

Last updated

Jun 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura Ashley

Title

Pharmacist

Phone

(870) 561-3113

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• DELTA DRUG INC Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeremy A Jackson, PHARMD

  • Pharmacist
  • Manila, AR
  • NPI 1720684863
  NPD

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1043318041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 372",
            "city": "MANILA",
            "state": "AR",
            "postal_code": "724420372",
            "telephone_number": "870-561-3113",
            "fax_number": "870-561-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 S HWY 18 BYPASS",
            "city": "MANILA",
            "state": "AR",
            "postal_code": "72442",
            "telephone_number": "870-561-3113",
            "fax_number": "870-561-4291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "ASHLEY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "870-561-3113"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR01163",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2139523",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DELTA DRUG INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DELTA DRUG INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anita Kaye Cole, QBHP
• Brandon Corey Craine, OD
• Chassidy Crawford, LMSW
• Dear Me Therapy, LLC
• Delta Behavioral Health, LLC
• Kylie Meghan Devries, LMSW
• Skiver Lynn Dilldine
• Heather Michelle Dobbins
• Dr. Bruce T. Wilson D.D.S., PA (Wilson Dental)
• Elite Senior Care LLC

• Community/Retail Pharmacy in Manila, AR
• Providers in Manila, 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 Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.