Drug Store Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

DRUG STORE INC

Doing business as

THE DRUG STORE LTC

Practice address

11121 N Rodney Parham Rd Ste 42B
Little Rock, AR 72212-4108

Phone

(501) 223-2636

Fax

(501) 224-5253

NPI assigned

Jun 19, 2024

Organization subpart

Yes

Parent organization

DRUG STORE INCAs reported in NPPES

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

Authorized official

Name

Phillip Judd, BS PHARMACYNPI 1912067364

Title

Owner/Pharmacist

Phone

(501) 223-2636

Specialties & licenses 1

Addresses

Other names 1

• THE DRUG STORE LTC Doing business as

Part of

Drug Store the

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phillip Judd

  • Pharmacist
  • Little Rock, AR
  • NPI 1912067364
  NPD Authorized official
• Lisa Annette Burgess, RPH

  • Pharmacist
  • Little Rock, AR
  • NPI 1093499089
  NPD
• Meggan Edmondson

  • Pharmacist
  • Little Rock, AR
  • NPI 1306580824
  NPD

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1619711256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11121 N RODNEY PARHAM RD STE 42B",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722124108",
            "telephone_number": "501-223-2636",
            "fax_number": "501-224-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11121 N RODNEY PARHAM RD STE 42B",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722124108",
            "telephone_number": "501-223-2636",
            "fax_number": "501-224-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRUG STORE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DRUG STORE INC",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "JUDD",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "501-223-2636",
        "authorized_official_credential": "BS PHARMACY"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE DRUG STORE LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peter James Drolet, PA-C
• Sasya Dronavalli, MD
• Lindsey Ann Droste, APRN, NNP-BC
• DRS Budhraja, PA
• DRS. Woodard & Sundell, DDS, PA
• Drug Store, Inc
• Kelsey M Druhot
• Dry Eye Center of Arkansas
• Duane Birky MD PA
• Thirumal Reddy Dubbaka, MD

• Long Term Care Pharmacy in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Long Term Care Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.