Gannaway Drug Store Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

AR5666 Issued in AR

Legal business name

GANNAWAY DRUG STORE INC

Practice address

101 N Main St
Warren, AR 71671-2714

Phone

(870) 226-3752

NPI assigned

Feb 18, 2007

Last updated

Aug 22, 2020By 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

Mr. Ralph Edward OnealNPI 1275677692

Title

Pharmacist Owner

Phone

(870) 226-3752

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Ralph Edward O'Neal

  • Pharmacist
  • Warren, AR
  • NPI 1275677692
  NPD (past) Authorized official

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

{
    "created_epoch": "1171756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285778605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W CENTRAL ST",
            "city": "WARREN",
            "state": "AR",
            "postal_code": "716712807",
            "telephone_number": "870-226-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N MAIN ST",
            "city": "WARREN",
            "state": "AR",
            "postal_code": "716712714",
            "telephone_number": "870-226-3752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GANNAWAY DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ONEAL",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "870-226-3752",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "AR5666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ess of Warren LLC
• Finish Line Therapy LLC
• Marylan L Fisher
• Rivers Hope Frazer
• Anna Marie Funderburg, PTA
• Justin G Gates, CRNA
• Ladonna Dichelle George, M.D.
• Lilian A Gilbert
• Jan Gorman
• Russell Neal Gregory, MD

• Pharmacist in Warren, AR
• Providers in Warren, AR by specialty
• Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.