Wayne Ray Harvey

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0417370 Issued in AR

Legal business name

WAYNE RAY HARVEY

Practice address

313 Main St
Des Arc, AR 72040-1071

Phone

(870) 256-4317

Fax

(870) 256-3387

NPI assigned

Jan 31, 2007

Last updated

Jun 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wayne Ray Harvey

Title

Pharmacist

Phone

(870) 256-4317

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• PALACE DRUG Other name

Locations

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1508903139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1071",
            "city": "DES ARC",
            "state": "AR",
            "postal_code": "720401071",
            "telephone_number": "870-256-4317",
            "fax_number": "870-256-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 MAIN ST",
            "city": "DES ARC",
            "state": "AR",
            "postal_code": "720401071",
            "telephone_number": "870-256-4317",
            "fax_number": "870-256-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE RAY HARVEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "870-256-4317"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "0417370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120780407",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "0417370",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PALACE DRUG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• River Bend Pharmacy Group LLC (Palace Drug)
• River Bend Pharmacy Group LLC (Palace Drug Long-Term Care Pharmacy)
• Jessica M Siler, RDH
• State of Arkansas (Prairie County Health Unit)
• TLCS, P.C. (Healthcare Plus)

• Community/Retail Pharmacy in Des Arc, AR
• Providers in Des Arc, AR by specialty
• Community/Retail Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.