Active NPI
Bruce Drugs Inc
- Community/Retail Pharmacy
- Smackover, AR
National Provider Identifier
1336208602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 0406101
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0406101 | Other | AR | PHARMACY ID |
Other names 1
- Edgar Floyd Henley propertys Bruce drugs Inc
National Provider Directory
National Provider DirectoryLocations
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.