Caeverett, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

AR11366 Issued in AR

Legal business name

CAEVERETT, INC

Doing business as

Corner Drug Store

Practice address

830 E Main Street
Melbourne, AR 72556

Phone

(870) 368-7171

Fax

(870) 368-5295

NPI assigned

Mar 8, 2006

Last updated

Jan 8, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Abby EverettNPI 1932742640

Title

Owner

Phone

(870) 291-0453

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• CORNER DRUG STORE Doing business as

Medicare fee-for-service enrollment

Enrolled in AR2 enrollments

Enrollment records 2

Tax ID family

Caeverett Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Caeverett, Inc

  dba Corner Drug Store

  • Long Term Care Pharmacy
  • Melbourne, AR
  • NPI 1588124770
  NPD tax ID

Locations

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.

• Abby Everett

  • Pharmacist
  • Melbourne, AR
  • NPI 1932742640
  NPD Authorized official

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1326015371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1370",
            "city": "MELBOURNE",
            "state": "AR",
            "postal_code": "725561370",
            "telephone_number": "870-368-7171",
            "fax_number": "870-368-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 E MAIN STREET",
            "city": "MELBOURNE",
            "state": "AR",
            "postal_code": "72556",
            "telephone_number": "870-368-7171",
            "fax_number": "870-368-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAEVERETT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "EVERETT",
        "authorized_official_first_name": "ABBY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-291-0453"
    },
    "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": "AR11366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158762407",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1994142",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORNER DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CORNER DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Luke Brightwell, PA-C
• Elizabeth McGarity Brown, OTR
• Kriste Bryant
• Buffalo River Therapy & Living Center, Inc.
• Brianna Bumpous
• Caeverett, Inc (Corner Drug Store)
• Debbie L Campbell
• Tiffany Casey, SLP-A
• Community Medical Center of Izard County (Community Medical Center Clinic of Melbourne)
• Conway County Community Service, Inc

• Community/Retail Pharmacy in Melbourne, AR
• Providers in Melbourne, AR by specialty
• Community/Retail Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.