Active NPI
McHaney Drug, PA
- Pharmacy
- Paragould, AR
National Provider Identifier
1487748166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- AR20348
- Legal business name
- MCHANEY DRUG, PA
- Practice address
- 1400 West Hunt St
Paragould, AR 72450 - Phone
- (870) 236-3180
- Fax
- (870) 239-2354
- NPI assigned
- Oct 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Sam P McHaney, PHARM. D.
- Title
- Owner/Pharmacist
- Phone
- (870) 236-3180
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | AR20348 | AR | Primary |
Addresses
Primary practice location
1400 West Hunt St
Paragould, AR 72450
Mailing address
1400 West Hunt St
Paragould, AR 72450
Phone (870) 236-3180
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170925002903 | AR | Part B Supplier - Mass Immunization (Roster Biller Only) | 9234403577 | Practice locations: Paragould, AR |
National Provider Directory
National Provider DirectoryLocations
1400 W Hunt St
Paragould, AR 72450
Phone (870) 236-3180
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Paragould, AR
- NPI 1992432413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1487748166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 WEST HUNT ST",
"city": "PARAGOULD",
"state": "AR",
"postal_code": "72450",
"telephone_number": "870-236-3180",
"fax_number": "870-239-2354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 WEST HUNT ST",
"city": "PARAGOULD",
"state": "AR",
"postal_code": "72450",
"telephone_number": "870-236-3180",
"fax_number": "870-239-2354"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCHANEY DRUG, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MCHANEY",
"authorized_official_first_name": "SAM",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER/PHARMACIST",
"authorized_official_telephone_number": "870-236-3180",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PHARM. D."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "AR",
"license": "AR20348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paragould, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.