NPIMap

Organization Active NPI

Caldwell Discount Drug Co Inc

  • Community/Retail Pharmacy
  • Wynne, AR
National Provider Identifier
1306280771
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
AR14982 Issued in AR
Legal business name
CALDWELL DISCOUNT DRUG CO INC
Practice address
804 Falls Blvd S
Wynne, AR 72396-3505
Phone
(870) 238-7085
Fax
(870) 238-8937
NPI assigned
Apr 29, 2013
Last updated
Apr 29, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
CALDWELL DISCOUNT DRUG CO INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Max A Caldwell, P.D.NPI 1538443551
Title
President / Owner
Phone
(870) 238-7085

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X AR14982 AR Primary

Addresses

Primary practice location

804 Falls Blvd S
Wynne, AR 72396-3505

Mailing address

PO Box 1084
Wynne, AR 72396-1084
Phone (870) 238-7085

National Provider Directory

National Provider Directory
Tax ID family
Caldwell Discount Drug4 organizations share this tax ID, including this one
Part of
Caldwell Discount Drug

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1306280771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1084",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723961084",
            "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 CO INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CALDWELL DISCOUNT DRUG CO INC",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "870-238-7085",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR14982",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 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.

Verify at the official NPI Registry.