Med Center Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

AR17243 Issued in AR

Legal business name

MED CENTER PHARMACY

Practice address

2901 Medical Center Dr
Pocahontas, AR 72455-9438

Phone

(870) 892-4495

Fax

(870) 892-1833

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Randall Burge, RPH

Title

Manager

Phone

(870) 892-4495

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• MED CENTER PHARMACY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Fort, PHARM D

  • Pharmacist
  • Pocahontas, AR
  • NPI 1487256418
  NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1801908892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 MEDICAL CENTER DR",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724559438",
            "telephone_number": "870-892-4495",
            "fax_number": "870-892-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 MEDICAL CENTER DR",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724559438",
            "telephone_number": "870-892-4495",
            "fax_number": "870-892-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED CENTER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "BURGE",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "870-892-4495",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR17243",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121103407",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1995150",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MED CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Elizabeth McKenzie, MCD, CCC-SLP
• Emily Madison McMullin
• Chasity McPherson
• Margrett Alice McPherson, APRN
• Robin Snider McQuay, MCD, CCC-SLP
• Amanda B Meeks, COTA/L
• Lauren Tyler Middlecoff, LCSW
• Kimberly Dawn Miller, PHARM.D.
• Benjamin Moore
• Heidi Moore

• Community/Retail Pharmacy in Pocahontas, AR
• Providers in Pocahontas, 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 Apr 4, 2017; 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.