NPIMap

Organization Active NPI

Supermarket Investors Inc

  • Pharmacy
  • Little Rock, AR
National Provider Identifier
1083762082
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
AR20022 Issued in AR
Legal business name
SUPERMARKET INVESTORS INC
Doing business as
HARVEST FOODS PHARMACY
Practice address
10320 Stagecoach Rd
Little Rock, AR 72210-5746
Phone
(501) 455-8080
Fax
(501) 455-8327
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Authorized official

Name
Brenda McCrady, BS PHARMACY
Title
Director of Pharmacy
Phone
(501) 570-0007

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X AR20022 AR Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

10320 Stagecoach Rd
Little Rock, AR 72210-5746

Mailing address

10320 Stagecoach Rd
Little Rock, AR 72210-5746

Other identifiers 1

IdentifierTypeStateIssuer
0419881OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • HARVEST FOODS PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Harvest Foods Pharmacy13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

10320 Stagecoach Rd
Little Rock, AR 72210
Phone (501) 455-1900

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1083762082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10320 STAGECOACH RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722105746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10320 STAGECOACH RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722105746",
            "telephone_number": "501-455-8080",
            "fax_number": "501-455-8327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERMARKET INVESTORS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "MCCRADY",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "501-570-0007",
        "authorized_official_credential": "BS PHARMACY"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AR",
            "license": "AR20022",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0419881",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HARVEST FOODS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.