Langston Drug Store, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

AR20382 Issued in AR

Legal business name

LANGSTON DRUG STORE, INC.

Practice address

1202 Main St
Van Buren, AR 72956-4555

Phone

(479) 474-3431

Fax

(479) 474-0106

NPI assigned

Oct 20, 2005

Last updated

Jan 22, 2016By 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

Rhonda Lea Miller-Morrison

Title

President

Phone

(417) 678-4136

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1801885041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 S MADISON AVE",
            "city": "AURORA",
            "state": "MO",
            "postal_code": "656051427",
            "telephone_number": "417-678-4136",
            "fax_number": "417-678-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 MAIN ST",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729564555",
            "telephone_number": "479-474-3431",
            "fax_number": "479-474-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANGSTON DRUG STORE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-20",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "MILLER-MORRISON",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-678-4136"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AR",
            "license": "AR20382",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "AR",
            "license": "AR20382",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0400678",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139920718",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100246160A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101120407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Marie Kuandart, PTA
• Madalyn Kuykendall
• L.a. Bebensee DO PC
• Mariko Lynn Labrada, PHARMD
• Kaylynn Victoria Laird, RN
• Emily Wren Lanier
• Lindsay Nicole Leding, MS CCC SLP
• Anna Christine Lee
• Krysha Lee
• Julie Leonard

• Pharmacy in Van Buren, AR
• Providers in Van Buren, AR by specialty
• Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; 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.