Rector Downtown Drug, Inc.
Organization Active NPI Pharmacist · Rector, AR
NPI 1649280389 · NPPES record last updated Dec 7, 2018
Key facts
- NPI
- 1649280389
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacist 183500000X
- Legal business name
- RECTOR DOWNTOWN DRUG, INC.
- Practice address
- 403 S Main St
Rector, AR 72461-1706 - Phone
- (870) 595-3523
- NPI assigned
- Aug 8, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Robert Keith Hill, P.D.
- Title
- Owner, President
- Phone
- (870) 595-3523
Corporate family (same tax ID) 3
Practitioners 3
-
Shannon M Haywood, PHARMD
-
Robert Keith Hill, P.D.
-
Mary Ann Lovrien, PHARMD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930069734 | AR | DME Supplier - Pharmacy | 5193842953 | Practice locations: Rector, AR |
| O20160809003218 | AR | Part B Supplier - Mass Immunization (Roster Biller Only) | 5193842953 | Practice locations: Rector, AR |
National Provider Directory
- Tax ID family
- Rector Downtown Drug Inc
Locations
403 S Main St
Rector, AR 72461
Phone (870) 595-3523
316 E 9th St
Rector, AR 72461
Phone (870) 595-3523
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | AR | Yes | |
| Pharmacist |
183500000X | MO | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | MO | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | AR | ||
| Community/Retail Pharmacy | 3336C0003X | |||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
403 S Main St
Rector, AR 72461-1706
Mailing address
403 S Main St
Rector, AR 72461-1706
Phone (870) 595-3523
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115515407 | Medicaid | AR | |
| 623892007 | Medicaid | MO | |
| 603892001 | Medicaid | MO |
Other providers in Rector, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.