NPIMap

Organization Active NPI

MVP Warren LLC

  • Long Term Care Pharmacy
  • Warren, AR
National Provider Identifier
1508540816
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MVP WARREN LLC
Practice address
101 N Main St
Warren, AR 71671-2714
Phone
(870) 226-3751
Fax
(870) 226-4453
NPI assigned
Jun 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Authorized official

Name
Calley McNemar
Title
Manager
Phone
(870) 265-2220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

101 N Main St
Warren, AR 71671-2714

Mailing address

PO Box 552
Lake Village, AR 71653-0552
Phone (870) 226-3751

National Provider Directory

National Provider Directory
Tax ID family
Gannaway Drug2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1508540816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 552",
            "city": "LAKE VILLAGE",
            "state": "AR",
            "postal_code": "716530552",
            "telephone_number": "870-226-3751",
            "fax_number": "870-226-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N MAIN ST",
            "city": "WARREN",
            "state": "AR",
            "postal_code": "716712714",
            "telephone_number": "870-226-3751",
            "fax_number": "870-226-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MVP WARREN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "MCNEMAR",
        "authorized_official_first_name": "CALLEY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "870-265-2220"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.