Active NPI
Sterling Drug Company
- Community/Retail Pharmacy
- Prairie Grove, AR
National Provider Identifier
1649332511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 67189
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100467407 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240106000023 | AR | Part B Supplier - Mass Immunization (Roster Biller Only) | 2163873837 | Practice locations: Prairie Grove, AR |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Bentonville, AR
- NPI 1174127567
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
- Sequoyah Residential Facility, Inc. (Medi Home of Prairie Grove)
- Jaynee Gail Sizemore, APRN
- Melinda Southerly, BSN, RN
- Amber Squire, RN, BSN
- St. Francis House Nwa, Inc. (Prairie Grove School Based Health Center)
- The Ray Dae
- Wal-Mart Stores Inc (Wal-Mart Pharmacy)
- Amanda Walls, PHD, NTP
- Blaine Yarbrough, CCC-SLP
- Lesli A Zorn, CERTIFIED BIRTH DOUL
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.