Imboden Medical Pharmacy Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

6091 Issued in AR

Legal business name

IMBODEN MEDICAL PHARMACY INC

Practice address

203 Walnut St
Imboden, AR 72434

Phone

(870) 869-2046

Fax

(870) 869-3302

NPI assigned

Oct 25, 2005

Last updated

Aug 22, 2020By 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

Mr. Gevan D Murphy, PP

Title

Pharmacist Manager Owner

Phone

(870) 869-2046

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528058112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 WALNUT ST",
            "city": "IMBODEN",
            "state": "AR",
            "postal_code": "72434",
            "telephone_number": "870-869-2046",
            "fax_number": "870-869-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 WALNUT ST",
            "city": "IMBODEN",
            "state": "AR",
            "postal_code": "72434",
            "telephone_number": "870-869-2046",
            "fax_number": "870-869-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMBODEN MEDICAL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "GEVAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHARMACIST MANAGER OWNER",
        "authorized_official_telephone_number": "870-869-2046",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PP"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "6091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABPH",
            "identifier": "0410047",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Hardin
• Mya Hart
• Samantha Hogard, PTA
• Lena Huffman, RN
• Imboden Area Charter School
• JMRX LLC (Imboden Medical Pharmacy)
• Mikka Nicole Jones, RN
• Emily C Late, RPH
• Lawrence Memorial Health Foundation Inc. (Imboden Rural Health Clinic)
• Lawrence Memorial Hospital (Imboden Clinic)

• Pharmacist in Imboden, AR
• Providers in Imboden, AR by specialty
• Pharmacist in Arkansas

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.