Organization Active NPI

Perry County Food & Drug

  • Pharmacist
  • Perryville, AR
National Provider Identifier
1184753899
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0413132 Issued in AR
Legal business name
PERRY COUNTY FOOD & DRUG
Practice address
112 Houston Avenue
Perryville, AR 72126
Phone
(501) 889-3399
Fax
(501) 889-2878
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Tracy Wallace Swaim, PD
Title
Pharmacist in Charge
Phone
(501) 889-5826

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 0413132 AR Primary

Addresses

Primary practice location

112 Houston Avenue
Perryville, AR 72126

Mailing address

PO Box 327
112 Houston Avenue
Perryville, AR 72126
Phone (501) 889-3399

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1184753899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 327",
            "address_2": "112 HOUSTON AVENUE",
            "city": "PERRYVILLE",
            "state": "AR",
            "postal_code": "72126",
            "telephone_number": "501-889-3399",
            "fax_number": "501-889-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 HOUSTON AVENUE",
            "city": "PERRYVILLE",
            "state": "AR",
            "postal_code": "72126",
            "telephone_number": "501-889-3399",
            "fax_number": "501-889-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY COUNTY FOOD & DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SWAIM",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "WALLACE",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "501-889-5826",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "0413132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perryville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.