Organization Active NPI

Baker Drug Company

Doing business as Baker Drug Store

  • Community/Retail Pharmacy
  • Conway, AR
National Provider Identifier
1306843016
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
AR02127 Issued in AR
Legal business name
BAKER DRUG COMPANY
Doing business as
Baker Drug Store
Practice address
924 Front St
Conway, AR 72032-4304
Phone
(501) 329-5626
Fax
(501) 329-1977
NPI assigned
Jul 7, 2005
Last updated
Dec 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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

Authorized official

Name
James Hendrickson, PHARM D
Title
Pharmacist
Phone
(501) 329-5626

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X AR02127 AR Primary

Addresses

Primary practice location

924 Front St
Conway, AR 72032-4304

Mailing address

924 Front St
Conway, AR 72032-4304
Phone (501) 329-5626

Other identifiers 2

IdentifierTypeStateIssuer
100179407MedicaidAR
1992895OtherPK

Other names 1

  • BAKER DRUG STORE Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481241600000",
    "number": "1306843016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 FRONT ST",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720324304",
            "telephone_number": "501-329-5626",
            "fax_number": "501-329-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 FRONT ST",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720324304",
            "telephone_number": "501-329-5626",
            "fax_number": "501-329-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKER DRUG COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2016-12-09",
        "status": "A",
        "authorized_official_last_name": "HENDRICKSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "501-329-5626",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR02127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100179407",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1992895",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAKER DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.