Active NPI
Caldwell Discount Drug Co., Inc.
- Long Term Care Pharmacy
- Wynne, AR
National Provider Identifier
1104655703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- 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.
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 Drug
- 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.
-
- Lactation Consultant (Non-RN)
- Wynne, AR
- NPI 1295078178
-
- Community/Retail Pharmacy
- Wynne, AR
- NPI 1306280771
-
- Pharmacy
- Wynne, AR
- NPI 1992703243
Locations
804 Falls Blvd S
Wynne, AR 72396
Phone (870) 238-7085
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
NPPES NPI RegistryPrimary 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
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.