McKinney Drug Stores Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

AR00589 Issued in AR

Legal business name

MCKINNEY DRUG STORES INC

Doing business as

MCKINNEY DRUG STORE INC

Practice address

601 W Maple Ave
Ste 201
Springdale, AR 72764-5335

Phone

(479) 751-4536

Fax

(479) 751-2031

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

David McKinney, PD

Title

President

Phone

(479) 751-4536

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MCKINNEY DRUG STORE INC Doing business as

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1366554354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W MAPLE AVE",
            "address_2": "STE 201",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727645335",
            "telephone_number": "479-751-4536",
            "fax_number": "479-751-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W MAPLE AVE",
            "address_2": "STE 201",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727645335",
            "telephone_number": "479-751-4536",
            "fax_number": "479-751-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKINNEY DRUG STORES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-751-4536",
        "authorized_official_credential": "PD"
    },
    "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": "AR00589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100391407",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1992745",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCKINNEY DRUG STORE INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel A McKelvy, M.D.
• Sarah E McKenna, LPC
• Lisa McKeown
• McKinney Drug Store Inc
• McKinney Drug Stores Inc
• Brandon McKinney
• Nancy Lynn McKown, RN
• Kaley Mahree McManamon
• Brad William McMullin, RN
• Katharine McNiel, MD

• Community/Retail Pharmacy in Springdale, AR
• Providers in Springdale, 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 Jun 8, 2016; 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.