Medi-Mart Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

AR16241 Issued in AR

Legal business name

MEDI-MART PHARMACY

Doing business as

Low's Pharmacy

Practice address

111 N Main St
Brinkley, AR 72021-2819

Phone

(870) 734-3161

Fax

(870) 734-1322

NPI assigned

Feb 8, 2007

Last updated

Mar 7, 2023By 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. Sam R Curry, P.D.

Title

Pharmacist & Manager

Phone

(870) 734-3161

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Low's Pharmacy Doing business as

Tax ID family

Low's Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Medi-Mart Pharmacy Inc

  • Pharmacy
  • Brinkley, AR
  • NPI 1326033515
  NPD tax ID

Locations

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1740320431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N MAIN ST",
            "city": "BRINKLEY",
            "state": "AR",
            "postal_code": "720212819",
            "telephone_number": "870-734-3161",
            "fax_number": "870-734-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N MAIN ST",
            "city": "BRINKLEY",
            "state": "AR",
            "postal_code": "720212819",
            "telephone_number": "870-734-3161",
            "fax_number": "870-734-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI-MART PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "CURRY",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHARMACIST & MANAGER",
        "authorized_official_telephone_number": "870-734-3161",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR16241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE PERMIT",
            "identifier": "AR16241",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Low's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kah Development 4, LLC (CenterWell Home Health)
• Clayton Jerome Knupp
• Marla Denise Lane
• Crystal Like, PTA
• Courtney B Manatt, APN
• Medi-Mart Pharmacy Inc
• Monroe County Human Development Center, Inc.
• Andrew Neaville, PHARMD
• Northeast Arkansas Community Mental Health Center Inc (Mid-South Health Systems)
• Odyssey Healthcare Operating a, LP (Gentiva)

• Community/Retail Pharmacy in Brinkley, AR
• Providers in Brinkley, AR by specialty
• Community/Retail Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.