Organization Active NPI

Smee Drug Store Inc

Doing business as Smee Drug Store

  • Community/Retail Pharmacy
  • Booneville, AR
National Provider Identifier
1184736175
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
AR13637 Issued in AR
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100854407MedicaidAR
0413637OtherNCPDP PROVIDER IDENTIFICATION NUMBER
136442716MedicaidAR

Other names 1

  • SMEE DRUG STORE Doing business as

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.