Organization Active NPI

Laws Drug Co Inc

Doing business as Laws Drug Store Inc

  • Community/Retail Pharmacy
  • Fort Smith, AR
National Provider Identifier
1104811173
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
AR10491 Issued in AR
Legal business name
LAWS DRUG CO INC
Doing business as
Laws Drug Store Inc
Laws Drug Store
Practice address
6802 Rogers Ave Ste 2
Fort Smith, AR 72903-4010
Phone
(479) 452-6116
Fax
(479) 484-7409
NPI assigned
Sep 15, 2005
Last updated
Oct 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Authorized official

Name
Joseph Korkames, BSNPI 1417942475
Title
Owner
Phone
(479) 452-6116

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X AR10491 AR Primary

Addresses

Primary practice location

6802 Rogers Ave Ste 2
Fort Smith, AR 72903-4010

Mailing address

6802 Rogers Ave Ste 2
Fort Smith, AR 72903-4010
Phone (479) 452-6116

Other identifiers 3

IdentifierTypeStateIssuer
100231650AMedicaidOK
1994057OtherPK
100143407MedicaidAR

Other names 2

  • LAWS DRUG STORE INC Doing business as
  • Laws Drug Store Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151221001982 AR Part B Supplier - Mass Immunization (Roster Biller Only) 6608996350 1 other NPI on this enrollment
Practice locations: Fort Smith, AR

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

6802 Rogers Ave
Ste 2
Fort Smith, AR 72903
Phone (479) 452-6116

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1104811173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6802 ROGERS AVE STE 2",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034010",
            "telephone_number": "479-452-6116",
            "fax_number": "479-484-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6802 ROGERS AVE STE 2",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034010",
            "telephone_number": "479-452-6116",
            "fax_number": "479-484-7409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWS DRUG CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-15",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-17",
        "status": "A",
        "authorized_official_last_name": "KORKAMES",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-452-6116",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR10491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100231650A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1994057",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100143407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAWS DRUG STORE INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Laws Drug Store",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Laws Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.