Active NPI
Donald Hedden, P.D.
- Pharmacist
- Sheridan, AR
National Provider Identifier
1306055041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD06225
- Practice address
- 821 N Rock St
Sheridan, AR 72150-7623 - Phone
- (870) 942-5121
- Fax
- (870) 942-2592
- NPI assigned
- May 21, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD06225 | AR | Primary |
Addresses
Primary practice location
821 N Rock St
Sheridan, AR 72150-7623
Mailing address
PO Box 217
Sheridan, AR 72150-0217
Phone (870) 942-5121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD06225 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McCoy-Tygart Drug Store Inc | Past | Accepting new patients | |
| McCoy-Tygart Drug Store Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Long Term Care Pharmacy
- Sheridan, AR
- NPI 1346876018
-
- Community/Retail Pharmacy
- Sheridan, AR
- NPI 1073579843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184630400000",
"number": "1306055041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 217",
"city": "SHERIDAN",
"state": "AR",
"postal_code": "721500217",
"telephone_number": "870-942-5121",
"fax_number": "870-942-2592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 N ROCK ST",
"city": "SHERIDAN",
"state": "AR",
"postal_code": "721507623",
"telephone_number": "870-942-5121",
"fax_number": "870-942-2592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEDDEN",
"first_name": "DONALD",
"credential": "P.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD06225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sheridan, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.