Organization Active NPI

C a Kuykendall Inc

Doing business as Village Pharmacy

  • Community/Retail Pharmacy
  • Ozark, AR
National Provider Identifier
1740361500
Registry record updated May 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
AR12813 Issued in AR
Legal business name
C A KUYKENDALL INC
Doing business as
Village Pharmacy
Village Pharmacy / Village Health Services
Practice address
500 W Commercial St
Ozark, AR 72949-3112
Phone
(479) 667-2101
Fax
(479) 667-1270
NPI assigned
Oct 18, 2006
Last updated
May 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2025

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

Authorized official

Name
Dr. Chester Arthur Kuykendall Jr., P.D.NPI 1043205933
Title
President
Phone
(479) 667-2101

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 7

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X AR12813 AR
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X AR12813 AR
Oxygen Equipment & Supplies (DME) 332BX2000X AR12813 AR
Community/Retail Pharmacy 3336C0003X AR12813 AR Primary
Home Infusion Therapy Pharmacy 3336H0001X AR12813 AR
Long Term Care Pharmacy 3336L0003X AR12813 AR
Compounding Pharmacy 3336C0004X AR12813 AR

Addresses

Primary practice location

500 W Commercial St
Ozark, AR 72949-3112

Mailing address

500 W Commercial St
Ozark, AR 72949-3112
Phone (479) 667-2101

Other identifiers 5

IdentifierTypeStateIssuer
0412813OtherARNABP
05988024001OtherARAR SALES & USE PERMIT
102251716MedicaidAR
AR12813OtherARARK PHARMACY LISC
100486407MedicaidAR

Other names 2

  • Village Pharmacy Doing business as
  • Village Pharmacy / Village Health Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100930054330 AR DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered PharmacistDME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & EquipmentDME Supplier - Medical Supply Company With Pedorthic Personnel 7315065059 Practice locations: Ozark, AR
O20110207000081 AR Part B Supplier - Mass Immunization (Roster Biller Only) 7315065059 Practice locations: Ozark, AR
O20250213002018 AR Part B Supplier - Pharmacy 7315065059 Practice locations: Ozark, AR

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
C a Kuykendall Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

2105 Creekview
Fayetteville, AR 72704
Phone (479) 249-9900

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": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748044800000",
    "number": "1740361500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W COMMERCIAL ST",
            "city": "OZARK",
            "state": "AR",
            "postal_code": "729493112",
            "telephone_number": "479-667-2101",
            "fax_number": "479-667-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W COMMERCIAL ST",
            "city": "OZARK",
            "state": "AR",
            "postal_code": "729493112",
            "telephone_number": "479-667-2101",
            "fax_number": "479-667-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C A KUYKENDALL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2025-05-24",
        "certification_date": "2025-05-24",
        "status": "A",
        "authorized_official_last_name": "KUYKENDALL",
        "authorized_official_first_name": "CHESTER",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-667-2101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "P.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AR",
            "license": "AR12813",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "AR",
            "license": "AR12813",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "AR",
            "license": "AR12813",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR12813",
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "AR",
            "license": "AR12813",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "AR",
            "license": "AR12813",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "AR",
            "license": "AR12813",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "0412813",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR SALES & USE PERMIT",
            "identifier": "05988024001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102251716",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARK PHARMACY LISC",
            "identifier": "AR12813",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100486407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Village Pharmacy / Village Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ozark, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2025; 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.