M-C Drug Store LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

AR03369 Issued in AR

Legal business name

M-C DRUG STORE LLC

Doing business as

M C Drug Store LLC

Practice address

533 Porter St
Helena, AR 72342-3217

Phone

(870) 338-3414

Fax

(870) 338-3415

NPI assigned

Jul 30, 2006

Last updated

Sep 19, 2025By 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

Shelby Montgomery, PD

Title

Partner

Phone

(870) 338-3414

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• M C DRUG STORE LLC Doing business as

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1285649806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 574",
            "city": "HELENA",
            "state": "AR",
            "postal_code": "723420574",
            "telephone_number": "870-338-3414",
            "fax_number": "870-338-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 PORTER ST",
            "city": "HELENA",
            "state": "AR",
            "postal_code": "723423217",
            "telephone_number": "870-338-3414",
            "fax_number": "870-338-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M-C DRUG STORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "870-338-3414",
        "authorized_official_credential": "PD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AR",
            "license": "AR03369",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160024407",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1992975",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M C DRUG STORE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.