Active NPI
Town & Country Grocers of Fredericktown Mo Inc
Doing business as Country Mart
- Community/Retail Pharmacy
- Harrison, AR
National Provider Identifier
1588730246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- AR19475
- 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, 2017
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.