NPIMap

Organization Active NPI

Ponders Gassville Pharmacy

  • Community/Retail Pharmacy
  • Gassville, AR
National Provider Identifier
1710099700
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
AR20338 Issued in AR
Legal business name
PONDERS GASSVILLE PHARMACY
Practice address
7337 Highway 62 W
Gassville, AR 72635-8636
Phone
(870) 435-5757
Fax
(870) 435-5758
NPI assigned
Aug 31, 2006
Last updated
Jul 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2007

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

Authorized official

Name
Danny Ponder, PD CDMNPI 1053476671
Title
Owner
Phone
(870) 425-5145

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X AR20338 AR Primary

Addresses

Primary practice location

7337 Highway 62 W
Gassville, AR 72635-8636

Mailing address

7337 Highway 62 W
Gassville, AR 72635-8636

Other identifiers 2

IdentifierTypeStateIssuer
0421634OtherOTHER ID NUMBER-COMMERCIAL NUMBER
0421634OtherOTHER ID NUMBER

National Provider Directory

National Provider Directory

Locations

7337 Highway 62 W
Gassville, AR 72635
Phone (870) 435-5757

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1710099700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7337 HIGHWAY 62 W",
            "city": "GASSVILLE",
            "state": "AR",
            "postal_code": "726358636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7337 HIGHWAY 62 W",
            "city": "GASSVILLE",
            "state": "AR",
            "postal_code": "726358636",
            "telephone_number": "870-435-5757",
            "fax_number": "870-435-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONDERS GASSVILLE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "PONDER",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-425-5145",
        "authorized_official_credential": "PD CDM"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR20338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0421634",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "0421634",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gassville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; 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.