Austin Drugs Inc
Organization Active NPI Community/Retail Pharmacy · Gravette, AR
NPI 1679649339 · NPPES record last updated May 22, 2025
Key facts
- NPI
- 1679649339
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- AR13219 (AR)
- Legal business name
- AUSTIN DRUGS INC
- Practice address
- 118 Main St NE
Gravette, AR 72736-8719 - Phone
- (479) 787-5432
- Fax
- (479) 787-5851
- NPI assigned
- Nov 27, 2006
- Organization subpart
- No
Authorized official
- Name
- William Earl Osborn
- Title
- VP
- Phone
- (918) 542-4444
Member of 1
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Austin Drugs Inc |
Immunosuppressive Drugs|Nebulizer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Nebulizer Equipment and/or Supplies | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930014035 | AR | DME Supplier - Pharmacy | 9335267756 | Practice locations: Gravette, AR |
| O20170228002117 | AR | Part B Supplier - Mass Immunization (Roster Biller Only) | 9335267756 | Practice locations: Gravette, AR |
National Provider Directory
Locations
118 Main St NE
Gravette, AR 72736
Phone (479) 787-5432
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | AR13219 | AR | Yes |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
118 Main St NE
Gravette, AR 72736-8719
Mailing address
PO Box 239
Gravette, AR 72736-0239
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1994346 | Other | PK | |
| 100827407 | Medicaid | AR | |
| 600077680 | Medicaid | MO | |
| 100231720A | Medicaid | OK |
Other names
- AUSTIN DRUGS
Other providers in Gravette, AR
- Adventageous Care
- Bailey Health Center, LLC
- Eric Shawn Bailey
- Pennie Berry
- Bailey Boatright
- Karen Canulla
All providers in Gravette, AR · Community/Retail Pharmacy in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2025. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.