Organization Active NPI

Ecb Pharmacy Inc

  • Community/Retail Pharmacy
  • Caruthersville, MO
National Provider Identifier
1154435121
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2010010565 Issued in MO
Legal business name
ECB PHARMACY INC
Doing business as
Hayden Pharmacy
Practice address
1200 Ward Ave
Caruthersville, MO 63830-2204
Phone
(573) 333-4606
Fax
(573) 333-2843
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2013

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

Authorized official

Name
James R Brands
Title
President
Phone
(573) 333-4606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 2010010565 MO Primary

Addresses

Primary practice location

1200 Ward Ave
Caruthersville, MO 63830-2204

Mailing address

1200 Ward Ave
Caruthersville, MO 63830-2204
Phone (573) 333-4606

Other identifiers 1

IdentifierTypeStateIssuer
2125116OtherPK

Other names 1

  • Hayden Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1200 Ward Ave
Caruthersvlle, MO 63830
Phone (573) 333-4606

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1154435121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WARD AVE",
            "city": "CARUTHERSVILLE",
            "state": "MO",
            "postal_code": "638302204",
            "telephone_number": "573-333-4606",
            "fax_number": "573-333-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WARD AVE",
            "city": "CARUTHERSVILLE",
            "state": "MO",
            "postal_code": "638302204",
            "telephone_number": "573-333-4606",
            "fax_number": "573-333-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECB PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "BRANDS",
        "authorized_official_first_name": "JAMES R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-333-4606"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2010010565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2125116",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hayden Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Caruthersville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.