Rose Drug of Dover, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

AR20230 Issued in AR

Legal business name

ROSE DRUG OF DOVER, INC

Doing business as

Berry Drug of Dardanelle

Practice address

417 Union St
Dardanelle, AR 72834-3429

Phone

(479) 229-4811

Fax

(479) 229-5871

NPI assigned

Sep 8, 2006

Last updated

Apr 19, 2022By 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

Mr. Richard L Harmon, P.D.

Title

Pharmacist/Owner

Phone

(479) 229-4811

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BERRY DRUG OF DARDANELLE Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Rose Drug of Dover Inc

  • Community/Retail Pharmacy
  • Dover, AR
  • NPI 1508970393

  O20111129000234

  Same enrollment

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1376647594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 UNION ST",
            "city": "DARDANELLE",
            "state": "AR",
            "postal_code": "728343429",
            "telephone_number": "479-229-4811",
            "fax_number": "479-229-5871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 UNION ST",
            "city": "DARDANELLE",
            "state": "AR",
            "postal_code": "728343429",
            "telephone_number": "479-229-4811",
            "fax_number": "479-229-5871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE DRUG OF DOVER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "HARMON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "479-229-4811",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AR",
            "license": "AR20230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148363716",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BERRY DRUG OF DARDANELLE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BERRY DRUG OF DARDANELLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Restoring Hope Consulting and Social Work, P.a.
• River Valley Medical Center Family Clinic LLC
• Taylor Roden
• Diedra Anne Rogers
• Kaci Rood, PHARM D
• Rose Drug of Dover, Inc (Berry Drug of Dardanelle)
• William Patrick Scott, MD
• SDS Emergency Staffing LLC
• Matthew Self, MD
• Jill M Sheets, P.D.

• Durable Medical Equipment & Medical Supplies in Dardanelle, AR
• Providers in Dardanelle, AR by specialty
• Durable Medical Equipment & Medical Supplies in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.