Organization Active NPI

Market Street Pharmacy

  • Pharmacy
  • Horseshoe Bend, AR
National Provider Identifier
1407842404
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
AR-16253 Issued in AR
Legal business name
MARKET STREET PHARMACY
Practice address
404 Market St
Horseshoe Bend, AR 72512-3871
Phone
(870) 670-5098
Fax
(870) 670-5905
NPI assigned
Sep 25, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Steven Jeff Montgomery, P.D.
Title
Pharmacist
Phone
(870) 670-5098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X AR-16253 AR Primary

Addresses

Primary practice location

404 Market St
Horseshoe Bend, AR 72512-3871

Mailing address

404 Market St
Horseshoe Bend, AR 72512-3871
Phone (870) 670-5098

Other identifiers 3

IdentifierTypeStateIssuer
AR-16253OtherARARKANSAS PHARMACY LISCENS
BM2051821OtherARD.E.A. LISCNESE
0416253OtherARN.A.B.P. NUMBER

Other names 1

  • HORSESHOE BEND'S MARKET PHARMACY Other name

National Provider Directory

National Provider Directory

Locations

404 Market St
Horseshoe Bend, AR 72512
Phone (870) 670-5098

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1127606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407842404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 MARKET ST",
            "city": "HORSESHOE BEND",
            "state": "AR",
            "postal_code": "725123871",
            "telephone_number": "870-670-5098",
            "fax_number": "870-670-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 MARKET ST",
            "city": "HORSESHOE BEND",
            "state": "AR",
            "postal_code": "725123871",
            "telephone_number": "870-670-5098",
            "fax_number": "870-670-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKET STREET PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "JEFF",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "870-670-5098",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "P.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AR",
            "license": "AR-16253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS PHARMACY LISCENS",
            "identifier": "AR-16253",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "D.E.A. LISCNESE",
            "identifier": "BM2051821",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N.A.B.P. NUMBER",
            "identifier": "0416253",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HORSESHOE BEND'S MARKET PHARMACY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Horseshoe Bend, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.