Yellville Drug Store, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

AR06644 Issued in AR

Legal business name

YELLVILLE DRUG STORE, INC.

Doing business as

Clinic Pharmacy

Practice address

317 Highway 62 W
Yellville, AR 72687-9924

Phone

(870) 449-4099

NPI assigned

Oct 12, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Paul Scott, P.D.

Title

President

Phone

(870) 449-4099

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Clinic Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407844418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 730",
            "city": "YELLVILLE",
            "state": "AR",
            "postal_code": "726870730",
            "telephone_number": "870-449-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 HIGHWAY 62 W",
            "city": "YELLVILLE",
            "state": "AR",
            "postal_code": "726879924",
            "telephone_number": "870-449-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELLVILLE DRUG STORE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-449-4099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "P.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AR",
            "license": "AR06644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE #",
            "identifier": "AR06644",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP ID#",
            "identifier": "0406644",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinic Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• State of Arkansas
• Nancy S Svehla, APN
• Michel T Villiger, APRN
• Donna Voight, M.S. CCC-SLP
• Monica Lynn Worsham-Estes
• Yellville Healthcare LLC
• Yellville-Summit Health Center
• Yellville-Summit School District

• Pharmacy in Yellville, AR
• Providers in Yellville, AR by specialty
• Pharmacy in Arkansas

• 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.