Organization Active NPI

Sterling Drug Company

  • Community/Retail Pharmacy
  • Prairie Grove, AR
National Provider Identifier
1649332511
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
67189 Issued in AR
Legal business name
STERLING DRUG COMPANY
Practice address
125 E. Buchanan Street
Prairie Grove, AR 72753
Phone
(479) 846-2135
Fax
(479) 846-3940
NPI assigned
Dec 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Authorized official

Name
John Lykins
Title
Owner
Phone
(479) 846-2135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 67189 AR Primary

Addresses

Primary practice location

125 E. Buchanan Street
Prairie Grove, AR 72753

Mailing address

PO Box 1008
Prairie Grove, AR 72753-1008
Phone (479) 846-2135

Other identifiers 1

IdentifierTypeStateIssuer
100467407MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240106000023 AR Part B Supplier - Mass Immunization (Roster Biller Only) 2163873837 Practice locations: Prairie Grove, AR

National Provider Directory

National Provider Directory

Locations

125 E Buchanan St
Prairie Grove, AR 72753
Phone (479) 846-2135

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1649332511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1008",
            "city": "PRAIRIE GROVE",
            "state": "AR",
            "postal_code": "727531008",
            "telephone_number": "479-846-2135",
            "fax_number": "479-846-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E. BUCHANAN STREET",
            "city": "PRAIRIE GROVE",
            "state": "AR",
            "postal_code": "72753",
            "telephone_number": "479-846-2135",
            "fax_number": "479-846-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STERLING DRUG COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "LYKINS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-846-2135"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "67189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100467407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairie Grove, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.