Organization Active NPI

Walling Drug, LLC

  • Community/Retail Pharmacy
  • Cave City, AR
National Provider Identifier
1306418363
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WALLING DRUG, LLC
Practice address
316 N Main St Ste a
Cave City, AR 72521-9700
Phone
(870) 232-0450
Fax
(870) 232-0445
NPI assigned
Jul 10, 2021
Last updated
Nov 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Authorized official

Name
Jennifer Walling, PHARMDNPI 1699364133
Title
Pic/Owner
Phone
(870) 232-0450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

316 N Main St Ste a
Cave City, AR 72521-9700

Mailing address

260 Puckett Rd
Cave City, AR 72521-9547
Phone (870) 232-0450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20211011002863 AR Part B Supplier - Pharmacy 0446658157 Practice locations: Cave City, AR
O20211011002937 AR Part B Supplier - Mass Immunization (Roster Biller Only) 0446658157 Practice locations: Cave City, AR
O20211206000315 AR Part B Supplier - Independent Clinical Laboratory 0446658157 Practice locations: Cave City, AR

National Provider Directory

National Provider Directory

Locations

316A N Main St
Cave City, AR 72521
Phone (870) 232-0450

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": "1625875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1306418363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 PUCKETT RD",
            "city": "CAVE CITY",
            "state": "AR",
            "postal_code": "725219547",
            "telephone_number": "870-232-0450",
            "fax_number": "870-232-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 N MAIN ST STE A",
            "city": "CAVE CITY",
            "state": "AR",
            "postal_code": "725219700",
            "telephone_number": "870-232-0450",
            "fax_number": "870-232-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLING DRUG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-10",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "WALLING",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PIC/OWNER",
        "authorized_official_telephone_number": "870-232-0450",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cave City, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.