NPIMap

Organization Active NPI

Cave City Pharmacy, PLLC

  • Long Term Care Pharmacy
  • Cave City, AR
National Provider Identifier
1669237145
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
CAVE CITY PHARMACY, PLLC
Doing business as
CAVE CITY PHARMACY LONG TERM CARE
Practice address
301 S Main St Ste C
Cave City, AR 72521-9224
Phone
(870) 283-5589
Fax
(870) 283-5636
NPI assigned
Feb 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Authorized official

Name
Jennifer L Davis, PHARMDNPI 1083741995
Title
Owner/Pharmacist
Phone
(870) 283-5403

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

301 S Main St Ste C
Cave City, AR 72521-9224

Mailing address

PO Box 147
Cave City, AR 72521-0147
Phone (870) 283-5589

Other names 1

  • CAVE CITY PHARMACY LONG TERM CARE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cave City Pharmacy2 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.

Locations

301 S Main St
Ste C
Cave City, AR 72521
Phone (870) 283-5589

Practitioners & affiliated clinicians

Practitioners 5

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": "1707868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1669237145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 147",
            "city": "CAVE CITY",
            "state": "AR",
            "postal_code": "725210147",
            "telephone_number": "870-283-5589",
            "fax_number": "870-283-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S MAIN ST STE C",
            "city": "CAVE CITY",
            "state": "AR",
            "postal_code": "725219224",
            "telephone_number": "870-283-5589",
            "fax_number": "870-283-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAVE CITY PHARMACY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "870-283-5403",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAVE CITY PHARMACY LONG TERM CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cave City, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.