NPIMap

Organization Active NPI

McCoy-Tygart Drug Store Inc

  • Long Term Care Pharmacy
  • Sheridan, AR
National Provider Identifier
1346876018
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MCCOY-TYGART DRUG STORE INC
Practice address
821 N Rock St
Sheridan, AR 72150-7623
Phone
(870) 942-5121
Fax
(870) 942-2592
NPI assigned
Mar 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Authorized official

Name
Donald Louis Hedden, PDNPI 1306055041
Title
Owner
Phone
(870) 942-5121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

821 N Rock St
Sheridan, AR 72150-7623

Mailing address

PO Box 217
Sheridan, AR 72150-0217
Phone (870) 942-5121

Other identifiers 1

IdentifierTypeStateIssuer
100377407MedicaidAR

National Provider Directory

National Provider Directory
Tax ID family
McCoy Tygart Drug2 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.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584057600000",
    "number": "1346876018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 217",
            "city": "SHERIDAN",
            "state": "AR",
            "postal_code": "721500217",
            "telephone_number": "870-942-5121",
            "fax_number": "870-942-2592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N ROCK ST",
            "city": "SHERIDAN",
            "state": "AR",
            "postal_code": "721507623",
            "telephone_number": "870-942-5121",
            "fax_number": "870-942-2592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCOY-TYGART DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-13",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A",
        "authorized_official_last_name": "HEDDEN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-942-5121",
        "authorized_official_credential": "PD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100377407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; 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.