Active NPI
Amyco Inc
Doing business as Anderson's Discount Pharmacy
- Pharmacy
- Fort Smith, AR
National Provider Identifier
1689670457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 72669
- Legal business name
- AMYCO INC
- Doing business as
- Anderson's Discount Pharmacy
- Practice address
- 700 Lexington Ave
Fort Smith, AR 72901-4738 - Phone
- (479) 782-2881
- Fax
- (479) 782-3974
- NPI assigned
- Jun 24, 2005
- Last updated
- Aug 22, 2020
- 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
- Ms. Kandice Amy Gibbons, PHARM.D.
- Title
- Owner
- Phone
- (479) 782-2881
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 72669 | AR | Primary |
Addresses
Primary practice location
700 Lexington Ave
Fort Smith, AR 72901-4738
Mailing address
700 Lexington Ave
Fort Smith, AR 72901-4738
Phone (479) 782-2881
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90003922622 | Medicaid | OK |
Other names 1
- ANDERSON'S DISCOUNT PHARMACY
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Anderson's Discount Pharmacy | Blood Glucose Monitors/Supplies (Non-Mail Order)|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchair Seating/Cushions|Nebulizer Equipment and/or Supplies | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Amyco Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1689670457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 LEXINGTON AVE",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729014738",
"telephone_number": "479-782-2881",
"fax_number": "479-782-3974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 LEXINGTON AVE",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729014738",
"telephone_number": "479-782-2881",
"fax_number": "479-782-3974"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMYCO INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GIBBONS",
"authorized_official_first_name": "KANDICE",
"authorized_official_middle_name": "AMY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "479-782-2881",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "PHARM.D."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "AR",
"license": "72669",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "90003922622",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ANDERSON'S DISCOUNT PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Smith, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.