Professional Pharmacy

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

PROFESSIONAL PHARMACY

Doing business as

Professional Pharmacy

Practice address

1515 N. Medical Drive
Stuttgart, AR 72160

Phone

(870) 673-1741

Fax

(870) 673-1590

NPI assigned

May 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Zachary Judson Smith, PHARM.DNPI 1710319439

Title

President

Phone

(870) 673-1741

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 2

• PROFESSIONAL PHARMACY Doing business as
• CROWE DRUG CO Other name

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Tax ID family

Crowe Drug Co2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Professional Pharmacy

  • Long Term Care Pharmacy
  • Stuttgart, AR
  • NPI 1427891779
  NPD tax ID

Practitioners 2

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.

• Zachary Judson Smith

  • Pharmacist
  • Stuttgart, AR
  • NPI 1710319439
  NPD Authorized official
• Terry Judson Smith, PD

  • Pharmacist
  • Stuttgart, AR
  • NPI 1770626244
  NPD

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615334400000",
    "number": "1457565400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N. MEDICAL DRIVE",
            "city": "STUTTGART",
            "state": "AR",
            "postal_code": "72160",
            "telephone_number": "870-673-1741",
            "fax_number": "870-673-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N. MEDICAL DRIVE",
            "city": "STUTTGART",
            "state": "AR",
            "postal_code": "72160",
            "telephone_number": "870-673-1741",
            "fax_number": "870-673-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "JUDSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-673-1741",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100440407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROFESSIONAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CROWE DRUG CO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stephanie Patyk, D.O.
• Robert Peters, BS
• Ashton Jae Porter, MD
• Presidential Emergency Physicians, LLC
• Professional Pharmacy
• Ella Jeanne Pullman
• Amber Linnise Purcell, PLMSW
• Cordney Purcell, MHPP
• Ragan Rexall Drug
• Kayla Reed

• Long Term Care Pharmacy in Stuttgart, AR
• Providers in Stuttgart, AR by specialty
• Long Term Care Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.