Mam Enterprises Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

AR20275 Issued in AR

Legal business name

MAM ENTERPRISES INC

Practice address

11200 Arch St
Little Rock, AR 72206-4649

Phone

(501) 261-7181

Fax

(501) 261-7307

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Mark Alan McMurry, P.D.

Title

Owner

Phone

(501) 261-7181

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• ARCH STREET PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1487706925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241250",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722230005",
            "telephone_number": "501-261-7181",
            "fax_number": "501-261-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 ARCH ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722064649",
            "telephone_number": "501-261-7181",
            "fax_number": "501-261-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAM ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "MCMURRY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-261-7181",
        "authorized_official_credential": "P.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR20275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142625407",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE MASS IMMUNIZATION PTAN",
            "identifier": "5G678",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARCH STREET PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Malone
• Jerry Malott, MD
• Pamella Maltbia, LMSW
• Tachicka Shawntae Malvin
• Mam Enterprises Inc
• Mamie Heather Owens, M.D., PLLC
• Christopher Manbeck
• Amanda Leigh Manca, PTA
• Venkata Ramana Manchala, MD
• Shashidhar Manchegowda, MD

• Community/Retail Pharmacy in Little Rock, AR
• Providers in Little Rock, 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 Apr 12, 2011; 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.