Organization Active NPI

Bruce Drugs Inc

  • Community/Retail Pharmacy
  • Smackover, AR
National Provider Identifier
1336208602
Registry record updated Aug 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0406101 Issued in AR
Legal business name
BRUCE DRUGS INC
Practice address
711 Broadway St
Smackover, AR 71762-1822
Phone
(870) 725-2401
Fax
(870) 725-2853
NPI assigned
Dec 6, 2006
Last updated
Aug 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2007

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

Authorized official

Name
Mr. Ed. F Henley, PH.D
Title
Owner
Phone
(870) 863-9867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 0406101 AR Primary

Addresses

Primary practice location

711 Broadway St
Smackover, AR 71762-1822

Mailing address

711 Broadway St
Smackover, AR 71762-1822
Phone (870) 725-2401

Other identifiers 1

IdentifierTypeStateIssuer
0406101OtherARPHARMACY ID

Other names 1

  • Edgar Floyd Henley propertys Bruce drugs Inc Other name

National Provider Directory

National Provider Directory

Locations

711 Broadway St
Smackover, AR 71762
Phone (870) 725-2401

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186704000000",
    "number": "1336208602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 BROADWAY ST",
            "city": "SMACKOVER",
            "state": "AR",
            "postal_code": "717621822",
            "telephone_number": "870-725-2401",
            "fax_number": "870-725-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 BROADWAY ST",
            "city": "SMACKOVER",
            "state": "AR",
            "postal_code": "717621822",
            "telephone_number": "870-725-2401",
            "fax_number": "870-725-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-08-10",
        "status": "A",
        "authorized_official_last_name": "HENLEY",
        "authorized_official_first_name": "ED.",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-863-9867",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "0406101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY ID",
            "identifier": "0406101",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edgar Floyd Henley propertys Bruce drugs Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Smackover, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; 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.