Organization Active NPI

PHC Pharmacies Inc

Doing business as Medicine Shoppe

  • Community/Retail Pharmacy
  • Batesville, AR
National Provider Identifier
1457423238
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0419108 Issued in AR
Legal business name
PHC PHARMACIES INC
Doing business as
Medicine Shoppe
Practice address
2080 Harrison St
Suite a
Batesville, AR 72501-7413
Phone
(870) 793-2161
Fax
(870) 793-4569
NPI assigned
Nov 15, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
C Kemp Skokos
Title
Owner
Phone
(870) 793-2161

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X AR
Community/Retail Pharmacy 3336C0003X 0419108 AR Primary

Addresses

Primary practice location

2080 Harrison St
Suite a
Batesville, AR 72501-7413

Mailing address

2080 Harrison St
Suite a
Batesville, AR 72501-7413

Other identifiers 2

IdentifierTypeStateIssuer
0419108OtherOTHER ID NUMBER-COMMERCIAL NUMBER
139395407MedicaidAR

Other names 1

  • MEDICINE SHOPPE Doing business as

National Provider Directory

National Provider Directory

Locations

2080 Harrison St
Ste A
Batesville, AR 72501
Phone (870) 569-8167

4545 N Highway 7
Hot Springs Village, AR 71909
Phone (501) 984-6101

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": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1457423238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 HARRISON ST",
            "address_2": "SUITE A",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 HARRISON ST",
            "address_2": "SUITE A",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017413",
            "telephone_number": "870-793-2161",
            "fax_number": "870-793-4569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHC PHARMACIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SKOKOS",
        "authorized_official_first_name": "C",
        "authorized_official_middle_name": "KEMP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-793-2161"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AR",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "0419108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0419108",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139395407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Batesville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.