NPIMap

Organization Active NPI

Supermarket Investors Inc

  • Community/Retail Pharmacy
  • Little Rock, AR
National Provider Identifier
1255489258
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
AR20549 Issued in AR
Legal business name
SUPERMARKET INVESTORS INC
Doing business as
HARVEST FOODS PHARMACY
Practice address
7507 Cantrell Rd
Little Rock, AR 72207-2529
Phone
(501) 296-9376
Fax
(501) 296-9378
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Authorized official

Name
Brenda McCrady, BS PHARMACY
Title
Director of Pharmacy
Phone
(501) 570-0007

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X AR20549 AR Primary

Addresses

Primary practice location

7507 Cantrell Rd
Little Rock, AR 72207-2529

Mailing address

7507 Cantrell Rd
Little Rock, AR 72207-2529

Other identifiers 1

IdentifierTypeStateIssuer
0422573OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • HARVEST FOODS PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Harvest Foods Pharmacy13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

7507 Cantrell Rd
Little Rock, AR 72207
Phone (501) 296-9376

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1255489258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7507 CANTRELL RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722072529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7507 CANTRELL RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722072529",
            "telephone_number": "501-296-9376",
            "fax_number": "501-296-9378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERMARKET INVESTORS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "MCCRADY",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "501-570-0007",
        "authorized_official_credential": "BS PHARMACY"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR20549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0422573",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HARVEST FOODS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.