Organization Active NPI

Town & Country Grocers of Fredericktown Mo Inc

Doing business as Country Mart

  • Community/Retail Pharmacy
  • Harrison, AR
National Provider Identifier
1588730246
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
AR19475 Issued in AR
Legal business name
TOWN & COUNTRY GROCERS OF FREDERICKTOWN MO INC
Doing business as
Country Mart
Practice address
611 W Hwy 62 and 65 North
Harrison, AR 72601
Phone
(870) 741-2118
Fax
(870) 741-2268
NPI assigned
Nov 27, 2006
Last updated
Apr 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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

Authorized official

Name
Bobbie Hufford
Title
Ceo
Phone
(573) 783-5703

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X AR19475 AR Primary

Addresses

Primary practice location

611 W Hwy 62 and 65 North
Harrison, AR 72601

Mailing address

611 W Hwy 62 and 65 North
Harrison, AR 72601
Phone (870) 741-2118

Other names 1

  • COUNTRY MART Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1588730246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W HWY 62 AND 65 NORTH",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "72601",
            "telephone_number": "870-741-2118",
            "fax_number": "870-741-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W HWY 62 AND 65 NORTH",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "72601",
            "telephone_number": "870-741-2118",
            "fax_number": "870-741-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN & COUNTRY GROCERS OF FREDERICKTOWN MO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "HUFFORD",
        "authorized_official_first_name": "BOBBIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "573-783-5703"
    },
    "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": "AR19475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COUNTRY MART",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harrison, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.