Davidson Drug, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

DAVIDSON DRUG, LLC

Practice address

1238A Highway 62 412
Highland, AR 72542-9468

Phone

(870) 955-1022

NPI assigned

Sep 16, 2019

Last updated

Aug 18, 2022By 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. Ken Searcy Davidson, PDNPI 1104414523

Title

Pharmacist/Owner

Phone

(870) 955-1022

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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.

• Ken Searcy Davidson, RPH

  • Pharmacist
  • Highland, AR
  • NPI 1104414523
  NPD Authorized official

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1801446380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 ORR RD",
            "city": "ASH FLAT",
            "state": "AR",
            "postal_code": "725139705",
            "telephone_number": "870-955-1022",
            "fax_number": "870-955-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1238A HIGHWAY 62 412",
            "city": "HIGHLAND",
            "state": "AR",
            "postal_code": "725429468",
            "telephone_number": "870-955-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIDSON DRUG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-16",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "KEN",
        "authorized_official_middle_name": "SEARCY",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "870-955-1022",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "236370407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Complete Care Inc (Ozark Medical Equipment)
• Christina Conforth, QBHP
• Christina Marie Cooper, FNP
• Madison Cooper
• Matt Alan Cooper
• Ken Searcy Davidson, RPH
• Davis Drug Store Inc
• Davis Drug Store Inc (Pillbox Pharmacy LTC)
• Davis Drug Store Inc (Pillbox Pharmacy)
• Chelsea L Davis

• Community/Retail Pharmacy in Highland, AR
• Providers in Highland, 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 Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.