Individual provider Active NPI

Casey Ward Hedden, PHARMD

  • Pharmacist
  • Sheridan, AR
National Provider Identifier
1376857987
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PD11118 Issued in AR
Practice address
821 N Rock St
Sheridan, AR 72150-7623
Phone
(870) 942-5121
Fax
(870) 942-2592
NPI assigned
Aug 6, 2010
Last updated
May 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PD11118 AR 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PD11118ARMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
McCoy-Tygart Drug Store Inc CurrentSince May 10, 2020 Accepting new patients
McCoy-Tygart Drug Store Inc PastSince May 10, 2020 Accepting new patients

Locations

821 N Rock St
Sheridan, AR 72150
Phone (870) 942-5121

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1376857987",
    "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": {
        "last_name": "HEDDEN",
        "first_name": "CASEY",
        "middle_name": "WARD",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-06",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD11118",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 7, 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.