Active NPI
Caldwell Discount Drug
- Lactation Consultant (Non-RN)
- Wynne, AR
National Provider Identifier
1295078178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- License
- 42975
- Legal business name
- CALDWELL DISCOUNT DRUG
- Practice address
- 804 Falls Blvd S
Wynne, AR 72396-3505 - Phone
- (870) 238-7085
- Fax
- (870) 238-8937
- NPI assigned
- Mar 29, 2013
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Max Caldwell, PHARMACIST
- Title
- Owner/Pharmacist
- Phone
- (870) 238-7085
National Provider Directory
National Provider Directory- Tax ID family
- Caldwell Discount Drug
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Wynne, AR
- NPI 1306280771
-
- Long Term Care Pharmacy
- Wynne, AR
- NPI 1104655703
-
- Pharmacy
- Wynne, AR
- NPI 1992703243
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | 42975 | MA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
804 Falls Blvd S
Wynne, AR 72396-3505
Mailing address
804 Falls Blvd S
Wynne, AR 72396-3505
Phone (870) 238-7085
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42975 | Other | AR | ACADEMY OF LACATATION POLICY AND PRACTICE |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 29, 2013.
{
"created_epoch": "1364515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364515200000",
"number": "1295078178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 FALLS BLVD S",
"city": "WYNNE",
"state": "AR",
"postal_code": "723963505",
"telephone_number": "870-238-7085",
"fax_number": "870-238-8937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 FALLS BLVD S",
"city": "WYNNE",
"state": "AR",
"postal_code": "723963505",
"telephone_number": "870-238-7085",
"fax_number": "870-238-8937"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CALDWELL DISCOUNT DRUG",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-29",
"last_updated": "2013-03-29",
"status": "A",
"authorized_official_last_name": "CALDWELL",
"authorized_official_first_name": "MAX",
"authorized_official_title_or_position": "OWNER/PHARMACIST",
"authorized_official_telephone_number": "870-238-7085",
"authorized_official_credential": "PHARMACIST"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Lactation Consultant, Non-RN",
"state": "MA",
"license": "42975",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACADEMY OF LACATATION POLICY AND PRACTICE",
"identifier": "42975",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wynne, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.