Eastern Arkansas Diabetic and Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EASTERN ARKANSAS DIABETIC AND MEDICAL SUPPLY

Practice address

511 Plaza
West Helena, AR 72390-2512

Phone

(870) 572-9335

NPI assigned

May 5, 2011

Last updated

Mar 10, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kirk Manuel

Title

Manager

Phone

(870) 816-5363

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1689966962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 EAST PLAZA",
            "city": "WEST HELENA",
            "state": "AR",
            "postal_code": "723902535",
            "telephone_number": "870-572-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 PLAZA",
            "city": "WEST HELENA",
            "state": "AR",
            "postal_code": "723902512",
            "telephone_number": "870-572-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN ARKANSAS DIABETIC AND MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-05",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "MANUEL",
        "authorized_official_first_name": "KIRK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "870-816-5363",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delta House
• James Austin Dove, D.D.S
• Dr. Lance Audirsch
• Dr. Lance Audirsch PA
• East Arkansas Substance Abuse Program (Phillips County Treatment Center)
• Elaine Pharmacy (Schubach Pharmacy)
• Elaine Pharmacy Inc (Schubach Pharmacy)
• Elaine Pharmacy Inc
• Rochelle Fair, RN
• Mary Dudley Gilbreath, PTA

• Durable Medical Equipment & Medical Supplies in West Helena, AR
• Providers in West Helena, AR by specialty
• Durable Medical Equipment & Medical Supplies in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.