Organization Active NPI

Peoples Pharmacy Inc

  • Community/Retail Pharmacy
  • Murfreesboro, AR
National Provider Identifier
1487714739
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
AR20341 Issued in AR
Legal business name
PEOPLES PHARMACY INC
Practice address
317 E 13TH St
Murfreesboro, AR 71958-9541
Phone
(870) 285-2111
Fax
(870) 285-3357
NPI assigned
Dec 9, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Bradley Deal, PHARMDNPI 1124618624
Title
Owner and Pic
Phone
(870) 285-2111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Corporate family (same tax ID) 1

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20201215000934 AR Part B Supplier - Mass Immunization (Roster Biller Only) 5496167512 Practice locations: Murfreesboro, AR

National Provider Directory

National Provider Directory
Tax ID family
Peoples Pharmacy (2 organizations share this tax ID)

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X AR20341 AR Primary
Long Term Care Pharmacy 3336L0003X

Addresses

NPPES NPI Registry

Primary practice location

317 E 13TH St
Murfreesboro, AR 71958-9541

Mailing address

PO Box 259
Murfreesboro, AR 71958-0259
Phone (870) 285-2111

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
100423407MedicaidAR
1992752OtherPK

Other names 1

NPPES NPI Registry
  • PEOPLES PHARMACY Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 22, 2021.

{
    "created_epoch": "1165622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1487714739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 259",
            "city": "MURFREESBORO",
            "state": "AR",
            "postal_code": "719580259",
            "telephone_number": "870-285-2111",
            "fax_number": "870-285-3357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 E 13TH ST",
            "city": "MURFREESBORO",
            "state": "AR",
            "postal_code": "719589541",
            "telephone_number": "870-285-2111",
            "fax_number": "870-285-3357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEOPLES PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-09",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "DEAL",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER AND PIC",
        "authorized_official_telephone_number": "870-285-2111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR20341",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100423407",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1992752",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEOPLES PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PEOPLES PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murfreesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.