Organization Active NPI

Medrelief Pharmacy LLC

  • Community/Retail Pharmacy
  • Marion, AR
National Provider Identifier
1548527757
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
AR20672 Issued in AR
Legal business name
MEDRELIEF PHARMACY LLC
Doing business as
MedRelief Pharmacy
Practice address
2895 State Highway 77 S Ste 3
Marion, AR 72364-2371
Phone
(870) 739-1700
Fax
(870) 739-1702
NPI assigned
Apr 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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

Authorized official

Name
Pete Battaglia
Title
Manager
Phone
(870) 739-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X AR20672 AR Primary

Addresses

Primary practice location

2895 State Highway 77 S Ste 3
Marion, AR 72364-2371

Mailing address

PO Box 2485
West Memphis, AR 72303-2485
Phone (870) 739-1700

Other identifiers 1

IdentifierTypeStateIssuer
0423917OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • MedRelief Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

2895 State Highway 77 S
Ste 3
Marion, AR 72364
Phone (870) 739-1700

NPI Registry JSON

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1548527757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2485",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723032485",
            "telephone_number": "870-739-1700",
            "fax_number": "870-739-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2895 STATE HIGHWAY 77 S STE 3",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723642371",
            "telephone_number": "870-739-1700",
            "fax_number": "870-739-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDRELIEF PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "BATTAGLIA",
        "authorized_official_first_name": "PETE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "870-739-1700"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR20672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0423917",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedRelief Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marion, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.