NPIMap

Organization Active NPI

GMT and P Enterprises

Doing business as Flippin Pharmacy

  • Community/Retail Pharmacy
  • Flippin, AR
National Provider Identifier
1265567192
Registry record updated Apr 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
AR09880 Issued in AR
Legal business name
GMT AND P ENTERPRISES
Doing business as
Flippin Pharmacy
Practice address
109 N 1St St
Flippin, AR 72634-8613
Phone
(870) 453-2218
Fax
(870) 453-2280
NPI assigned
Feb 22, 2007
Last updated
Apr 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2011

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

Authorized official

Name
Gary FancherNPI 1851434179
Title
Owner
Phone
(870) 453-2218

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X AR09880 AR Primary

Addresses

Primary practice location

109 N 1St St
Flippin, AR 72634-8613

Mailing address

PO Box 519
Flippin, AR 72634-0519
Phone (870) 453-2218

Other identifiers 3

IdentifierTypeStateIssuer
149181716MedicaidAR
0409880OtherNCPDP PROVIDER IDENTIFICATION NUMBER
149186407MedicaidAR

Other names 1

  • FLIPPIN PHARMACY Doing business as

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, 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": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1265567192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 519",
            "city": "FLIPPIN",
            "state": "AR",
            "postal_code": "726340519",
            "telephone_number": "870-453-2218",
            "fax_number": "870-453-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N 1ST ST",
            "city": "FLIPPIN",
            "state": "AR",
            "postal_code": "726348613",
            "telephone_number": "870-453-2218",
            "fax_number": "870-453-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GMT AND P ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "FANCHER",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-453-2218"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR09880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149181716",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0409880",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149186407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FLIPPIN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flippin, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.