Supermarket Investors Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

AR20223 Issued in AR

Legal business name

SUPERMARKET INVESTORS INC

Doing business as

HARVEST FOODS PHARMACY

Practice address

8801 Geyer Springs Rd
Little Rock, AR 72209-5053

Phone

(501) 562-6659

Fax

(501) 565-3083

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Brenda McCrady, BS PHARMACY

Title

Director of Pharmacy

Phone

(501) 570-0007

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• HARVEST FOODS PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1437207438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 GEYER SPRINGS RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722095053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 GEYER SPRINGS RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722095053",
            "telephone_number": "501-562-6659",
            "fax_number": "501-565-3083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERMARKET INVESTORS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "MCCRADY",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "501-570-0007",
        "authorized_official_credential": "BS PHARMACY"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AR",
            "license": "AR20223",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0420973",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HARVEST FOODS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Suphan Medical Clinic

• Pharmacy in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.