Cobbs Drug Store

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

AR05351 Issued in AR

Legal business name

COBBS DRUG STORE

Practice address

100 Fourche
Ola, AR 72853

Phone

(479) 489-5433

Fax

(479) 489-3139

NPI assigned

Nov 7, 2006

Last updated

Jan 10, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Harrad Cobb, PHRM

Title

Owner

Phone

(479) 489-5433

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1467521229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219",
            "city": "OLA",
            "state": "AR",
            "postal_code": "728530219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FOURCHE",
            "city": "OLA",
            "state": "AR",
            "postal_code": "72853",
            "telephone_number": "479-489-5433",
            "fax_number": "479-489-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBBS DRUG STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "HARRAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-489-5433",
        "authorized_official_credential": "PHRM"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR05351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0405351",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "0405351",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pat A Briley
• Cindy Nicole Burnett, APRN
• Cobb Drug Store
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• Ola Ops, Inc.
• Karl P Sandberg, M.D.
• Tippin Surgical Supply

• Community/Retail Pharmacy in Ola, AR
• Providers in Ola, AR by specialty
• Community/Retail Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.