Organization Active NPI

Medi-Quik Discount Pharmacy #3,Inc

  • Community/Retail Pharmacy
  • Paris, AR
National Provider Identifier
1780051219
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PD08365 Issued in AR
Legal business name
MEDI-QUIK DISCOUNT PHARMACY #3,INC
Practice address
406 E Walnut St
Paris, AR 72855-3920
Phone
(479) 963-1555
Fax
(479) 963-1560
NPI assigned
Sep 1, 2015
Last updated
Sep 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Authorized official

Name
Mrs. Elizabeth Marie Woolsey, PHARMD
Title
Pharmacist in Charge
Phone
(479) 963-1555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PD08365 AR Primary

Addresses

Primary practice location

406 E Walnut St
Paris, AR 72855-3920

Mailing address

406 E Walnut St
Paris, AR 72855-3920
Phone (479) 963-1555

Other identifiers 1

IdentifierTypeStateIssuer
163928407MedicaidAR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1780051219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 E WALNUT ST",
            "city": "PARIS",
            "state": "AR",
            "postal_code": "728553920",
            "telephone_number": "479-963-1555",
            "fax_number": "479-963-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 E WALNUT ST",
            "city": "PARIS",
            "state": "AR",
            "postal_code": "728553920",
            "telephone_number": "479-963-1555",
            "fax_number": "479-963-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI-QUIK DISCOUNT PHARMACY #3,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "WOOLSEY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "479-963-1555",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "PD08365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163928407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.