Hyde Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

AR16734 Issued in AR

Legal business name

HYDE PHARMACY INC

Practice address

1001 W Kingshighway
Paragould, AR 72450

Phone

(870) 239-4036

Fax

(870) 239-9478

NPI assigned

Jul 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Robert Kuenzel, PHARM D

Title

President

Phone

(870) 239-4036

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR2 enrollments

Enrollment records 2

Tax ID family

Hyde Pharmacy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Hyde Pharmacy Inc

  • Long Term Care Pharmacy
  • Paragould, AR
  • NPI 1396526661
  NPD tax ID
• Hyde Pharmacy Inc (Immunization)

  • Community/Retail Pharmacy
  • Paragould, AR
  • NPI 1538597752
  NPD tax ID

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1487675310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W KINGSHIGHWAY",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504142",
            "telephone_number": "870-239-4036",
            "fax_number": "870-239-9478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W KINGSHIGHWAY",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "72450",
            "telephone_number": "870-239-4036",
            "fax_number": "870-239-9478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYDE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "KUENZEL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-239-4036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR16734",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "AR",
            "license": "AR16734",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117466407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tim E. Hunt, D.D.S.
• William Hurst
• Teresa Lynn Hurt, MCD,CCC-SLP
• Randi Hutchison
• Hyde Pharmacy Inc
• Hyde Pharmacy Inc (Immunization)
• Brandi Denee Hyde, MSN, APRN, FNP-BC
• Ifaa,LLC
• Lacie Imboden
• Taylor Inman

• Community/Retail Pharmacy in Paragould, AR
• Providers in Paragould, 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 Mar 15, 2024; 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.