McKinney Drug Store Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

MCKINNEY DRUG STORE INC

Doing business as

Community Pharmacy of Springdale

Practice address

400 W Emma Ave
Springdale, AR 72764-4471

Phone

(479) 750-2220

Fax

(479) 751-2031

NPI assigned

Sep 8, 2023

Organization subpart

No

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

Authorized official

Name

Victoria Lee Hennessey, PHARM.D.

Title

President/Pharmacist

Phone

(479) 750-2220

Specialties & licenses 1

Addresses

Other names 1

• Community Pharmacy of Springdale Doing business as

Tax ID family

Community Pharmacy of Springdale2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• McKinney Drug Stores Inc

  • Community/Retail Pharmacy
  • Springdale, AR
  • NPI 1023445293
  NPD tax ID

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1619753241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W EMMA AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727644471",
            "telephone_number": "479-750-2220",
            "fax_number": "479-751-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W EMMA AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727644471",
            "telephone_number": "479-750-2220",
            "fax_number": "479-751-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKINNEY DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "HENNESSEY",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST",
        "authorized_official_telephone_number": "479-750-2220",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Pharmacy of Springdale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda L McKay
• Korey McKelvy
• Rachel A McKelvy, M.D.
• Sarah E McKenna, LPC
• Lisa McKeown
• McKinney Drug Stores Inc
• McKinney Drug Stores Inc
• Brandon McKinney
• Nancy Lynn McKown, RN
• Kaley Mahree McManamon

• Long Term Care Pharmacy in Springdale, AR
• Providers in Springdale, 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 Sep 8, 2023; 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.