Organization Active NPI

Caldwell Discount Drug Co., Inc.

  • Long Term Care Pharmacy
  • Wynne, AR
National Provider Identifier
1104655703
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
CALDWELL DISCOUNT DRUG CO., INC.
Practice address
804 Falls Blvd S
Wynne, AR 72396-3505
Phone
(870) 238-7085
Fax
(870) 238-8937
NPI assigned
Jul 31, 2024
Organization subpart
Yes
Parent organization
CALDWELL DISCOUNT DRUG CO., INC.As reported in NPPES

Authorized official

NPPES NPI Registry
Name
Max A Caldwell
Title
President
Phone
(870) 238-7085

National Provider Directory

National Provider Directory
Tax ID family
Caldwell Discount Drug4 organizations share this tax ID, including this one
Part of
Caldwell Discount Drug

Other organizations with this tax ID 3

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

Locations

804 Falls Blvd S
Wynne, AR 72396
Phone (870) 238-7085

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

NPPES NPI Registry

Primary practice location

804 Falls Blvd S
Wynne, AR 72396-3505

Mailing address

PO Box 1084
Wynne, AR 72396-1084
Phone (870) 238-7085

Other names 1

NPPES NPI Registry
  • Caldwell Discount Drug Co Inc, LTC Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 31, 2024.

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1104655703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1084",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723961084",
            "telephone_number": "870-238-7085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 FALLS BLVD S",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723963505",
            "telephone_number": "870-238-7085",
            "fax_number": "870-238-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALDWELL DISCOUNT DRUG CO., INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CALDWELL DISCOUNT DRUG CO., INC.",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-238-7085"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caldwell Discount Drug Co Inc, LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wynne, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.