NPIMap

Organization Active NPI

Supermarket Investors Inc

Doing business as Harvest Foods Pharmacy

  • Pharmacy
  • Bryant, AR
National Provider Identifier
1316095011
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
AR20161 Issued in AR
Legal business name
SUPERMARKET INVESTORS INC
Doing business as
Harvest Foods Pharmacy
Practice address
5914 Highway 5 N
Bryant, AR 72202
Phone
(501) 847-9001
NPI assigned
Jan 8, 2007
Last updated
May 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Brenda McCrady, BS PHARMACY
Title
Director of Pharmacy
Phone
(501) 570-0007

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X AR20161 AR Primary
Community/Retail Pharmacy 3336C0003X NU

Addresses

Primary practice location

5914 Highway 5 N
Bryant, AR 72202

Mailing address

5914 Highway 5 N
Bryant, AR 72022-8555
Phone (501) 847-9001

Other identifiers 3

IdentifierTypeStateIssuer
0420517OtherOTHER ID NUMBER-COMMERCIAL NUMBER
1508547416MedicaidAR
135560407MedicaidAR

Other names 1

  • HARVEST FOODS PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Harvest Foods Pharmacy13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

5914 Highway 5 N
Bryant, AR 72022
Phone (501) 847-9001

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1316095011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5914 HIGHWAY 5 N",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720228555",
            "telephone_number": "501-847-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5914 HIGHWAY 5 N",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "72202",
            "telephone_number": "501-847-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERMARKET INVESTORS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "MCCRADY",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "501-570-0007",
        "authorized_official_credential": "BS PHARMACY"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AR",
            "license": "AR20161",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0420517",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508547416",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135560407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HARVEST FOODS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bryant, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.