Organization Active NPI

Twin City Drugs Inc

Doing business as Hickory Hill Pharmacy

  • Community/Retail Pharmacy
  • Helena, AR
National Provider Identifier
1194718411
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
AR18411 Issued in AR
Legal business name
TWIN CITY DRUGS INC
Doing business as
Hickory Hill Pharmacy
Practice address
109 Hickory Hills Dr
Helena, AR 72342-2301
Phone
(870) 338-8351
Fax
(870) 338-3965
NPI assigned
Aug 23, 2005
Last updated
Feb 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
Edward Wright, PHARM.D.NPI 1730375775
Title
Owner
Phone
(870) 338-8351

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X AR18411 AR Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

109 Hickory Hills Dr
Helena, AR 72342-2301

Mailing address

109 Hickory Hills Dr
Helena, AR 72342-2301
Phone (870) 338-8351

Other identifiers 3

IdentifierTypeStateIssuer
1995481OtherPK
124912407MedicaidAR
0330633MedicaidAR

Other names 1

  • HICKORY HILL PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930060257 AR DME Supplier - Pharmacy 5294855037 Practice locations: Helena, AR
O20101105000522 AR Part B Supplier - Mass Immunization (Roster Biller Only) 5294855037 Practice locations: Helena, AR

National Provider Directory

National Provider Directory

Locations

109 Hickory Hills Dr
Helena, AR 72342
Phone (870) 338-8351

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": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1194718411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 HICKORY HILLS DR",
            "city": "HELENA",
            "state": "AR",
            "postal_code": "723422301",
            "telephone_number": "870-338-8351",
            "fax_number": "870-338-3965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 HICKORY HILLS DR",
            "city": "HELENA",
            "state": "AR",
            "postal_code": "723422301",
            "telephone_number": "870-338-8351",
            "fax_number": "870-338-3965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CITY DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-338-8351",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR18411",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1995481",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124912407",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0330633",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HICKORY HILL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Helena, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.