Organization Active NPI

Economy Drugs of Huntsville Inc

  • Community/Retail Pharmacy
  • Huntsville, AR
National Provider Identifier
1225130628
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
AR03686 Issued in AR
Legal business name
ECONOMY DRUGS OF HUNTSVILLE INC
Practice address
601 N Gaskill St
Huntsville, AR 72740-6001
Phone
(479) 738-2620
Fax
(479) 738-6973
NPI assigned
Sep 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Authorized official

Name
Haley Ray Gillham
Title
Owner
Phone
(479) 738-2620

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X AR03686 AR Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

601 N Gaskill St
Huntsville, AR 72740-6001

Mailing address

PO Box 157
Huntsville, AR 72740-0157
Phone (479) 738-2620

Other identifiers 2

IdentifierTypeStateIssuer
100553407MedicaidAR
0403686OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Economy Drug Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930066602 AR DME Supplier - PharmacyDME Supplier - Oxygen & Equipment 1850503640 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Huntsville, AR

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1225130628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 157",
            "city": "HUNTSVILLE",
            "state": "AR",
            "postal_code": "727400157",
            "telephone_number": "479-738-2620",
            "fax_number": "479-738-6973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N GASKILL ST",
            "city": "HUNTSVILLE",
            "state": "AR",
            "postal_code": "727406001",
            "telephone_number": "479-738-2620",
            "fax_number": "479-738-6973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECONOMY DRUGS OF HUNTSVILLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "GILLHAM",
        "authorized_official_first_name": "HALEY",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-738-2620"
    },
    "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": "AR03686",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100553407",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0403686",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Economy Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntsville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.