Village Apothecary, Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

AR00363 Issued in AR

Legal business name

VILLAGE APOTHECARY, INC

Doing business as

College Hill Drug

Practice address

100 East St
Texarkana, AR 71854-6304

Phone

(870) 772-6969

Fax

(870) 774-0912

NPI assigned

Dec 13, 2005

Organization subpart

No

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

Authorized official

Name

Michael Butler, PHARM.D.

Title

President

Phone

(501) 922-0777

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• College Hill Drug Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• East Gate Pharmacy Inc

  • Community/Retail Pharmacy
  • Lonsdale, AR
  • NPI 1902954969

  O20211013002725

  Same enrollment

Tax ID family

Village Apothecary Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Village Apothecary Inc

  dba Village HealthMart

  • Oxygen Equipment & Supplies (DME)
  • Hot Springs, AR
  • NPI 1093976094
  NPD tax ID
• Village Apothecary, Inc

  dba dba College Hill Drug & Medical

  • Durable Medical Equipment & Medical Supplies
  • Texarkana, AR
  • NPI 1972054468
  NPD tax ID
• Village Apothecary, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Hot Springs, AR
  • NPI 1598166399
  NPD tax ID
• Village Apothecary, Inc.

  dba Mt. Ida Home Medical & Oxygen

  • Oxygen Equipment & Supplies (DME)
  • Mount Ida, AR
  • NPI 1841639960
  NPD tax ID

Locations

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1235114208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EAST ST",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718546304",
            "telephone_number": "870-772-6969",
            "fax_number": "870-774-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EAST ST",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718546304",
            "telephone_number": "870-772-6969",
            "fax_number": "870-774-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE APOTHECARY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-13",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-922-0777",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AR",
            "license": "AR00363",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2155396",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "College Hill Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maurie Vaughn
• Pierre Vaughn
• Ruby Vaughn, MHPP
• Rajakumari Vegunta I, MD
• Ashley Nicole Vickers, RESIDENT, DO
• Village Apothecary, Inc (dba College Hill Drug & Medical)
• Vital Steps Recovery
• Alissa Waddell, FNP
• Ashten Waddill, LMSW
• Wal-Mart Stores, Inc. (Vision Center 30-0468)

• Pharmacy in Texarkana, AR
• Providers in Texarkana, AR by specialty
• Pharmacy in Arkansas

• 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.