Organization Active NPI

Buice Drug Store

  • Pharmacist
  • Little Rock, AR
National Provider Identifier
1811031065
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PD00083 Issued in AR
Legal business name
BUICE DRUG STORE
Practice address
3013 W Markham St
Little Rock, AR 72205-5853
Phone
(501) 663-4133
Fax
(501) 663-0270
NPI assigned
Feb 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
George Wimberly
Title
Pharmacist
Phone
(501) 663-4133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X PD00083 AR Primary

Addresses

Primary practice location

3013 W Markham St
Little Rock, AR 72205-5853

Mailing address

3013 W Markham St
Little Rock, AR 72205-5853
Phone (501) 663-4133

Other identifiers 1

IdentifierTypeStateIssuer
100022704MedicaidAR

National Provider Directory

National Provider Directory

Locations

3013 W Markham St
Little Rock, AR 72205
Phone (501) 663-4133

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1811031065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 W MARKHAM ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055853",
            "telephone_number": "501-663-4133",
            "fax_number": "501-663-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 W MARKHAM ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055853",
            "telephone_number": "501-663-4133",
            "fax_number": "501-663-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUICE DRUG STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "WIMBERLY",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "501-663-4133"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD00083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100022704",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.