Active NPI
Smee Drug Store Inc
Doing business as Smee Drug Store
- Community/Retail Pharmacy
- Booneville, AR
National Provider Identifier
1184736175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- AR13637
- Legal business name
- SMEE DRUG STORE INC
- Doing business as
- Smee Drug Store
- Practice address
- 32 W Main St
Booneville, AR 72927-3635 - Phone
- (479) 675-2306
- Fax
- (479) 675-2745
- NPI assigned
- Aug 31, 2006
- Last updated
- Jan 27, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Elizabethq Ferguson, PD
- Title
- Pharmacist in Charge President
- Phone
- (479) 675-2306
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | AR13637 | AR | Primary |
Addresses
Primary practice location
32 W Main St
Booneville, AR 72927-3635
Mailing address
PO Box 479
Booneville, AR 72927-0479
Phone (479) 675-2306
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100854407 | Medicaid | AR | |
| 0413637 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 136442716 | Medicaid | AR |
Other names 1
- SMEE DRUG STORE
National Provider Directory
National Provider DirectoryLocations
32 W Main St
Booneville, AR 72927
Phone (479) 675-2306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264550400000",
"number": "1184736175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 479",
"city": "BOONEVILLE",
"state": "AR",
"postal_code": "729270479",
"telephone_number": "479-675-2306",
"fax_number": "479-675-2745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 W MAIN ST",
"city": "BOONEVILLE",
"state": "AR",
"postal_code": "729273635",
"telephone_number": "479-675-2306",
"fax_number": "479-675-2745"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMEE DRUG STORE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2010-01-27",
"status": "A",
"authorized_official_last_name": "FERGUSON",
"authorized_official_first_name": "MARY ELIZABETHQ",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE PRESIDENT",
"authorized_official_telephone_number": "479-675-2306",
"authorized_official_credential": "PD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "AR",
"license": "AR13637",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100854407",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "0413637",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "136442716",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SMEE DRUG STORE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Booneville, AR
- Justin Lee Scantling, APRN
- Drake Schichtl
- J Thad Shirey, DDS
- Rebecca Shurden, PTA
- Rachel Beth Sing, M.D.
- South Logan Family Practice
- Cole Havard Stanton, OD
- State of Arkansas (Logan County Health Unit /Boonville)
- State of Arkansas (Booneville Human Development Center)
- William Andrew Stevenson IV, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.