Bob's Food City # 1450

Primary specialty

PharmacyTaxonomy code 333600000X

License

AR20017 Issued in AR

Legal business name

BOB'S FOOD CITY # 1450

Practice address

800 Malvern Ave
Hot Springs, AR 71901-6230

Phone

(501) 624-1208

Fax

(501) 623-9937

NPI assigned

Jan 8, 2007

Last updated

Mar 2, 2009By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235952000000",
    "number": "1265580260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MALVERN AVE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719016230",
            "telephone_number": "501-624-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MALVERN AVE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719016230",
            "telephone_number": "501-624-1208",
            "fax_number": "501-623-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOB'S FOOD CITY # 1450",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2009-03-02",
        "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": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AR",
            "license": "AR20017",
            "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": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0419843",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174842407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Blevins-Wykes
• Ashley Lauren Blockburger, PT, DPT
• Yvonne Elizabeth Blumhoefer, PA-C
• Dane Blunt
• Laryssa Lauret Blunt, APRN
• Diane Kay Bodemann, MD
• Donald Raymond Bodemann, MD
• Kimberly R. Bodemann, APRN
• Michael Charles Bodemann, MD
• Stephen Louis Bodemann, MD

• Pharmacy in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; 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.