Organization Active NPI

Cobb Drug Store

  • Pharmacy
  • Ola, AR
National Provider Identifier
1679648471
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
AR05351 Issued in AR
Legal business name
COBB DRUG STORE
Practice address
100 Fourche
Ola, AR 72853
Phone
(479) 489-5433
Fax
(479) 489-3139
NPI assigned
Nov 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Harrod Maurice Cobb, PD
Title
Pharmacist Owner
Phone
(479) 489-5433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X AR05351 AR Primary

Addresses

Primary practice location

100 Fourche
Ola, AR 72853

Mailing address

PO Box 219
100 Fourche
Ola, AR 72853
Phone (479) 489-5433

Other identifiers 1

IdentifierTypeStateIssuer
0405351OtherNABP

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679648471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219",
            "address_2": "100 FOURCHE",
            "city": "OLA",
            "state": "AR",
            "postal_code": "72853",
            "telephone_number": "479-489-5433",
            "fax_number": "479-489-3139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FOURCHE",
            "city": "OLA",
            "state": "AR",
            "postal_code": "72853",
            "telephone_number": "479-489-5433",
            "fax_number": "479-489-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBB DRUG STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "HARROD",
        "authorized_official_middle_name": "MAURICE",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "479-489-5433",
        "authorized_official_credential": "PD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AR",
            "license": "AR05351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "0405351",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ola, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.