Organization Active NPI

McHaney Drug, PA

  • Pharmacy
  • Paragould, AR
National Provider Identifier
1487748166
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
AR20348 Issued in AR
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20170925002903 AR Part B Supplier - Mass Immunization (Roster Biller Only) 9234403577 Practice locations: Paragould, AR

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.