NPIMap

Organization Active NPI

Melvins Discount Pharmacy Inc

  • Community/Retail Pharmacy
  • El Dorado, AR
National Provider Identifier
1497897995
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
AR17065 Issued in AR
Legal business name
MELVINS DISCOUNT PHARMACY INC
Practice address
828 W Hillsboro St
El Dorado, AR 71730-7047
Phone
(870) 863-4155
Fax
(870) 863-6242
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
Thomas SkeelesNPI 1902988587
Title
Owner
Phone
(870) 863-4155

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X AR17065 AR Primary

Addresses

Primary practice location

828 W Hillsboro St
El Dorado, AR 71730-7047

Mailing address

828 W Hillsboro St
El Dorado, AR 71730-7047
Phone (870) 863-4155

Other identifiers 2

IdentifierTypeStateIssuer
1995102OtherPK
149079407MedicaidAR

Other names 1

  • MELVINS DISCOUNT PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

828 W Hillsboro St
El Dorado, AR 71730
Phone (870) 863-4155

Practitioners & affiliated clinicians

Practitioners 3

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": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1497897995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 W HILLSBORO ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717307047",
            "telephone_number": "870-863-4155",
            "fax_number": "870-863-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 W HILLSBORO ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717307047",
            "telephone_number": "870-863-4155",
            "fax_number": "870-863-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELVINS DISCOUNT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "SKEELES",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-863-4155"
    },
    "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": "AR17065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1995102",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149079407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MELVINS DISCOUNT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Dorado, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.