NPIMap

Organization Active NPI

McGehee Drug Company LLC

Doing business as Sav-Mart Pharmacy

  • Community/Retail Pharmacy
  • McGehee, AR
National Provider Identifier
1720268378
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
AR17635 Issued in AR
Legal business name
MCGEHEE DRUG COMPANY LLC
Doing business as
Sav-Mart Pharmacy
Practice address
1007 Highway 65 S
MC Gehee, AR 71654-9417
Phone
(870) 222-6676
Fax
(870) 222-6679
NPI assigned
Nov 13, 2007
Last updated
Aug 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Authorized official

Name
Nikki T Hood, PHARMDNPI 1164501540
Title
Owner
Phone
(870) 222-6676

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X AR17635 AR Primary
Long Term Care Pharmacy 3336L0003X AR17635 AR

Addresses

Primary practice location

1007 Highway 65 S
MC Gehee, AR 71654-9417

Mailing address

1007 Highway 65 S
MC Gehee, AR 71654-9417
Phone (870) 222-6676

Other identifiers 2

IdentifierTypeStateIssuer
223559407MedicaidAR
1995263OtherPK

Other names 1

  • Sav-Mart Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171011000586 AR Part B Supplier - Mass Immunization (Roster Biller Only) 9931474392 Practice locations: MC Gehee, AR

National Provider Directory

National Provider Directory

Locations

1007 Highway 65 S
Mc Gehee, AR 71654
Phone (870) 222-6676

Practitioners & affiliated clinicians

Practitioners 3

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": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1720268378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 HIGHWAY 65 S",
            "city": "MC GEHEE",
            "state": "AR",
            "postal_code": "716549417",
            "telephone_number": "870-222-6676",
            "fax_number": "870-222-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 HIGHWAY 65 S",
            "city": "MC GEHEE",
            "state": "AR",
            "postal_code": "716549417",
            "telephone_number": "870-222-6676",
            "fax_number": "870-222-6679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCGEHEE DRUG COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "HOOD",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-222-6676",
        "authorized_official_credential": "PHARMD"
    },
    "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": "AR17635",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "AR",
            "license": "AR17635",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "223559407",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1995263",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sav-Mart Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McGehee, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.